Individual provider Active NPI

Rana Rkein

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1386973733
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5315091344 Issued in MI
Practice address
3815 Pelham St
Dearborn, MI 48124-3852
Phone
(313) 722-4683
Fax
(313) 241-9342
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4590 AZ
Physician Assistant 363A00000X 5315091344 MI Primary

Addresses

Primary practice location

3815 Pelham St
Dearborn, MI 48124-3852

Mailing address

2181 E Pecos Rd
Chandler, AZ 85225-6140
Phone (480) 238-7622

Other identifiers 1

IdentifierTypeStateIssuer
831910484MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address core_psych@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4590AZMDPhysician Assistant
5315091344MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Visiting Physicians PLLC PastSince Nov 1, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1386973733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256140",
            "telephone_number": "480-238-7622",
            "fax_number": "480-279-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 PELHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243852",
            "telephone_number": "313-722-4683",
            "fax_number": "313-241-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RKEIN",
        "first_name": "RANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4590",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5315091344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831910484",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "core_psych@outlook.com",
            "affiliation": "N",
            "address_1": "3815 Pelham St",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481243852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.