Individual provider Active NPI

Khushdeep Rayat

  • Family Nurse Practitioner
  • Taylor, MI
National Provider Identifier
1477935401
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704229578 Issued in MI
Practice address
23234 Ecorse Rd
Taylor, MI 48180-1769
Phone
(313) 768-5393
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704229578 MI Primary

Addresses

Primary practice location

23234 Ecorse Rd
Taylor, MI 48180-1769

Mailing address

23234 Ecorse Rd
Taylor, MI 48180-1769
Phone (313) 768-5393

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904002011 MI Practitioner - Nurse Practitioner 0143536193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Michigan PC 40 clinicians

Practice addresses (Care Compare)

42875 Grand River Ave
Suite 101
Novi, MI 48375-1782
Phone (248) 478-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704229578MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Michigan PC CurrentSince Oct 1, 2019 Accepting new patients
Taylor Urgent Care PC CurrentSince Jun 1, 2016 Accepting new patients
American Current Care of Michigan PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

42875 Grand River Ave
Ste 101
Novi, MI 48375
Phone (248) 478-1616

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

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.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1477935401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23234 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801769",
            "telephone_number": "313-768-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23234 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801769",
            "telephone_number": "313-768-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAT",
        "first_name": "KHUSHDEEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704229578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.