Active NPI
Abdul Rauf, MD
- Psychiatry Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301060767
- Practice address
- 3901 Chrysler Dr
Tolan Park
Detroit, MI 48201-2167 - Phone
- (313) 577-1396
- Fax
- (313) 993-3421
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301060767 | MI | Primary |
Addresses
Primary practice location
3901 Chrysler Dr
Tolan Park
Detroit, MI 48201-2167
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 577-1396
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
4201 Saint Antoine St
Detroit, MI 48201-2153
8600 Woodward Ave
Nso/Life Choices
Detroit, MI 48202-2142
Phone (313) 875-7601
882 Oakman Blvd C
Detroit, MI 48238-3710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060767 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Service Organization | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Psychiatry | Past | Accepting new patients |
Locations
220 Bagley St
Ste 1200
Detroit, MI 48226
Phone (313) 961-7990
3901 Chrysler Dr
Ste 1A
Detroit, MI 48201
Phone (313) 577-1396
8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
220 Bagley St
Ste 1100
Detroit, MI 48226
Phone (313) 961-7990
1560 E Maple Rd
Ste 400
Troy, MI 48083
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
35180 Nankin Blvd
Ste 205
Westland, MI 48185
Phone (313) 875-7601
Interoperability endpoints
- arauf@direct.dmc.org
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1891825808
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Speech-Language Pathologist
- Detroit, MI
- NPI 1336417146
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1417994906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-577-1396",
"fax_number": "313-993-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CHRYSLER DR",
"address_2": "TOLAN PARK",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012167",
"telephone_number": "313-577-1396",
"fax_number": "313-993-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUF",
"first_name": "ABDUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301060767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.
- 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.