Individual provider Active NPI

Doris Rafic Taha, MD

  • Pediatric Endocrinology Physician
  • Detroit, MI
National Provider Identifier
1194168948
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
4301102073 Issued in MI
Practice address
3950 Beaubien - 3Rd FL
Children's Hospital of Mi
Detroit, MI 48201
Phone
(313) 832-9220
Fax
(313) 993-8977
NPI assigned
Apr 11, 2013
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 4301102073 MI Primary

Addresses

Primary practice location

3950 Beaubien - 3Rd FL
Children's Hospital of Mi
Detroit, MI 48201

Mailing address

4201 Saint Antoine St
University Pediatricians - Uhc 5D Mailbox 226
Detroit, MI 48201-2153
Phone (313) 745-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826001049 MI Practitioner - EndocrinologyPractitioner - Pediatric Medicine 0042453821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians CurrentSince Feb 22, 2022 Accepting new patients
University Pediatricians CurrentSince Feb 22, 2022 Accepting new patients
VHS Physicians of Michigan PastSince May 21, 2022 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437

Interoperability endpoints

  • Direct secure messaging: dtaha@direct.dmc.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1194168948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UNIVERSITY PEDIATRICIANS - UHC 5D MAILBOX 226",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 BEAUBIEN - 3RD FL",
            "address_2": "CHILDREN'S HOSPITAL OF MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-832-9220",
            "fax_number": "313-993-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "DORIS",
        "middle_name": "RAFIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MI",
            "license": "4301102073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.