Active NPI
Rana Rkein
- Physician Assistant
- Dearborn, MI
National Provider Identifier
1386973733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5315091344
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831910484 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4590 | AZ | MD | Physician Assistant |
| 5315091344 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Visiting Physicians PLLC | Past | 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.
-
- Home Health Agency
- Detroit, MI
- NPI 1710168992
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.