Active NPI
Michael Donald Rahl, MD
- Student in an Organized Health Care Education/Training Program
- Kalamazoo, MI
National Provider Identifier
1326464553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4351046932
- Practice address
- 1000 Oakland Dr
Kalamazoo, MI 49008-1282 - Phone
- (269) 337-6200
- NPI assigned
- Mar 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016590 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351046932 | MI | Primary |
Addresses
Primary practice location
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Other practice location 1
286 Hoover Blvd
Holland, MI 49423-3719
Phone (616) 392-2172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200625002685 | MI | Order and Referring Only - Orthopedic Surgery | 0042442790 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1326464553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-337-6200"
}
],
"practiceLocations": [
{
"address_1": "286 Hoover Blvd",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494233719",
"country_code": "US",
"telephone_number": "616-392-2172",
"fax_number": "616-392-1726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHL",
"first_name": "MICHAEL",
"middle_name": "DONALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-12",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016590",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351046932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.