Active NPI
Razi Antoon, DO (MAY 2022)
- Psychiatry Physician
- Flint, MI
National Provider Identifier
1396488367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5101028280
- Practice address
- 1040 W Bristol Rd
Flint, MI 48507-5516 - Phone
- (810) 257-3705
- NPI assigned
- Apr 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 5101028280 | MI | Primary |
Addresses
Primary practice location
1040 W Bristol Rd
Flint, MI 48507-5516
Mailing address
46029 Shoal Dr
Macomb, MI 48044-4202
Phone (586) 879-9253
Other practice location 1
4250 Woodward Ave
Detroit, MI 48201-1818
Phone (313) 833-8100
Other practice location 2
707 W Milwaukee St
Detroit, MI 48202-2943
Phone (313) 833-3232
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220603000749 | MI | Order and Referring Only - Psychiatry | 2365820370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1396488367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46029 SHOAL DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480444202",
"telephone_number": "586-879-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485075516",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [
{
"address_1": "4250 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482011818",
"country_code": "US",
"telephone_number": "313-833-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 W Milwaukee St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022943",
"country_code": "US",
"telephone_number": "313-833-3232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTOON",
"first_name": "RAZI",
"credential": "DO (MAY 2022)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-18",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101028280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.