NPIMap

Individual provider Active NPI

Raymond T Hajjar Jr., D.O.

  • Plastic Surgery Physician
  • Bingham Farms, MI
National Provider Identifier
1447280110
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
5101010632 Issued in MI
Practice address
31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025-4363
Phone
(248) 208-8844
Fax
(248) 208-1750
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 5101010632 MI Primary

Addresses

Primary practice location

31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025-4363

Mailing address

31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025-4363
Phone (248) 208-8844

Other identifiers 1

IdentifierTypeStateIssuer
3171235 11MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000409 MI Practitioner - Plastic and Reconstructive Surgery 3779676812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond T Hajjar DO and Christopher Lumley DO PCGroup PAC ID 2062507395, 2 clinicians

Practice addresses (Care Compare)

31100 Telegraph Rd
Bingham Farms, MI 48025-4365
Phone 2482088844088844

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision34
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101010632MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond T. Hajjar, D.O. and Christopher Lumley, D.O., P.C. Plastic Surgery CurrentSince Jul 1, 1995 Accepting new patients

Locations

31100 Telegraph Rd
Ste 280
Bingham Farms, MI 48025
Phone (248) 208-8844

31100 Telegraph Rd
Bingham Farms, MI 48025
Phone (248) 208-8844

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1447280110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD",
            "address_2": "STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254363",
            "telephone_number": "248-208-8844",
            "fax_number": "248-208-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD",
            "address_2": "STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254363",
            "telephone_number": "248-208-8844",
            "fax_number": "248-208-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "RAYMOND",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "5101010632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3171235 11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.