Mustafa Raychouni, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010908 Issued in MI

Practice address

4828 Allen Rd
Allen Park, MI 48101-2914

Phone

(313) 768-5385

NPI assigned

Jan 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• MVMT GC P.L.L.C

  • Chiropractor
  • Garden City, MI
  • NPI 1609674654
  Medicare reassignment NPD Authorized official
• M & a Wellness PLLC

  • Chiropractor
  • Royal Oak, MI
  • NPI 1700575255
  NPD Authorized official
• Downriver Spine Management Clinic PLLC

  • Chiropractor
  • Allen Park, MI
  • NPI 1275072175
  Medicare reassignment

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1326638602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-768-5385",
            "fax_number": "313-768-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-768-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCHOUNI",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R G Baker DO PC
• R N Home Health Care, PLLC
• Eqdam N Radhi, MD
• Ralph W Raper MD PC
• Umadevi Ramachandran, RPT
• Stephanie A Rea, PAC
• Joseph Fred Recknagel, A.T.C.
• Ashley A Reed, ATC
• Marcia A Regalado, RN
• Ateeq K Rehman, M.D.

• Chiropractor in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.