Organization Active NPI

Rivi Medical Associates PLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1417462276
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIVI MEDICAL ASSOCIATES PLC
Practice address
26850 Providence Pkwy Ste 420
Novi, MI 48374-1263
Phone
(248) 962-3225
Fax
(866) 667-9703
NPI assigned
Dec 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Khyati Patel, MDNPI 1780992628
Title
President
Phone
(248) 962-3225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 420
Novi, MI 48374-1263

Mailing address

17599 Parkshore Dr
Northville, MI 48168-8577
Phone (734) 837-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412001372 MI Part B Supplier - Clinic/Group Practice 5799048377 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1417462276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17599 PARKSHORE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688577",
            "telephone_number": "734-837-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 420",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741263",
            "telephone_number": "248-962-3225",
            "fax_number": "866-667-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVI MEDICAL ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KHYATI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-962-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.

Verify at the official NPI Registry.