Individual provider Active NPI

Rami Al-Rashed

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, MI
National Provider Identifier
1255740494
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
480617 Issued in MI
Practice address
4540 Old Oak CT
Plymouth, MI 48170-6441
Phone
(734) 474-4324
NPI assigned
Aug 12, 2014
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 480617 MI Primary

Addresses

Primary practice location

4540 Old Oak CT
Plymouth, MI 48170-6441

Mailing address

4540 Old Oak CT
Plymouth, MI 48170-6441
Phone (734) 474-4324

Other identifiers 2

IdentifierTypeStateIssuer
5901002551OtherMIPODIATRIC PHYSICIAN AND SURGEON
5315067669OtherMIPHARMACY CONTROLLED SUBSTANCE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804001563 MI Practitioner - Podiatry 1153615778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30205 Schoenherr Rd
Suite a
Warren, MI 48088-6800
Phone (586) 751-1288

8025 Allen Rd
Allen Park, MI 48101-1705
Phone (313) 386-0080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue227
Removal of skin lesions103
Removal of nail tissue1214
Removal or shaving of skin growth925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
480617MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Podiatry Care Podiatrist CurrentSince Jan 1, 2022 Accepting new patients
Specialized Podiatry Services P. C. Podiatrist CurrentSince Apr 10, 2017 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

8025 Allen Rd
Allen Park, MI 48101
Phone (313) 386-0080

245 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-2150

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1621 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 317-4153

1621 E Broomfield St
Ste B
Mt Pleasant, MI 48858
Phone (616) 754-9580

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

30205 Schoenherr Rd
Ste A
Warren, MI 48088
Phone (586) 751-1288

Interoperability endpoints

  • Direct secure messaging: ralrashed1159684@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1255740494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 OLD OAK CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706441",
            "telephone_number": "734-474-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 OLD OAK CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706441",
            "telephone_number": "734-474-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-RASHED",
        "first_name": "RAMI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "480617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC PHYSICIAN AND SURGEON",
            "identifier": "5901002551",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY CONTROLLED SUBSTANCE",
            "identifier": "5315067669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.