Active NPI
Khushdeep Rayat
- Family Nurse Practitioner
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704229578
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704229578 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Michigan PC | Current | Accepting new patients | |
| Taylor Urgent Care PC | Current | Accepting new patients | |
| American Current Care of Michigan PC | Current | 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.
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1477745495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.