Rajaprabhakaran Rajarethinam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301064033 Issued in MI

Practice address

3001 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3205

Phone

(734) 846-2898

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Family Psychiatry, PLC

  • Clinical Social Worker
  • Saline, MI
  • NPI 1932387263
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1427095918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-846-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-846-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARETHINAM",
        "first_name": "RAJAPRABHAKARAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301064033",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "250229",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6301013432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4902521",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "0P30630251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Saleem Raja, MD
• Sobia Shamsher Raja, M.D.
• Fatemeh Rajaii, MD/PHD
• Venkatakrishna Rajajee, MB, BS
• Baskar Rajala, MBBS
• Radhika Rajeev
• Celine Rajoulh, MD
• Michal Rajski, MF
• Alexandra Ellen Raklovits, AGPCNP-C
• Kameron Rakowski, PA-C

• Psychiatry Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.

Verify at the official NPI Registry.