Active NPI
Yasmin Keshavjee, M.D.
- Addiction Medicine (Family Medicine) Physician
- Warren, MI
National Provider Identifier
1477920510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 4301068882
- Practice address
- 28800 Ryan Rd
Suite 320
Warren, MI 48092-4272 - Phone
- (586) 582-0500
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 4301068882 | MI | Primary |
Addresses
Primary practice location
28800 Ryan Rd
Suite 320
Warren, MI 48092-4272
Mailing address
400 Stoddard Rd
Richmond, MI 48062-2505
Phone (586) 582-0500
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Sacred Heart Rehabilitation Center, Inc | Current | Accepting new patients | |
| Sacred Heart Rehabilitation Center, Inc | Past | Accepting new patients |
Locations
1400 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 547-2223
400 Stoddard Rd
Richmond, MI 48062
19611 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 541-9550
Interoperability endpoints
- yasminkeshavjee@ipsychiatry.direct.kno2fy.com
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.
-
- Substance Abuse Rehabilitation Facility
- Richmond, MI
- NPI 1750363305
-
- Community/Behavioral Health Agency
- Madison Heights, MI
- NPI 1942510516
-
- Community/Behavioral Health Agency
- Saint Clair Shores, MI
- NPI 1093282881
-
- Community/Behavioral Health Agency
- Berrien Center, MI
- NPI 1548670391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1477920510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STODDARD RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480622505",
"telephone_number": "586-582-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28800 RYAN RD",
"address_2": "SUITE 320",
"city": "WARREN",
"state": "MI",
"postal_code": "480924272",
"telephone_number": "586-582-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHAVJEE",
"first_name": "YASMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MI",
"license": "4301068882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.