Individual provider Active NPI

Rami Elrefai, DDS

  • Dentist
  • Southfield, MI
National Provider Identifier
1497097448
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022068 Issued in MI
Practice address
24472 Northwestern Hwy
Southfield, MI 48075-2435
Phone
(248) 595-7000
NPI assigned
Mar 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901022068 MI Primary
Dentist 122300000X 30.025628 OH
Dentist 122300000X 019.032301 IL

Addresses

Primary practice location

24472 Northwestern Hwy
Southfield, MI 48075-2435

Mailing address

24472 Northwestern Hwy
Southfield, MI 48075-2435
Phone (248) 595-7000

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305002026 MI Order and Referring Only - DentistPractitioner - Dentist 8426464041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.032301ILMDDentist
2901022068MIMDDentist
30.025628OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Icon Dental Implant Center Single Specialty Current Accepting new patients
Dr. Eldib, PLLC Single Specialty CurrentSince Feb 25, 2021 Accepting new patients

Locations

3500 Washtenaw Ave
Ste E2
Ann Arbor, MI 48104
Phone (734) 808-0000

24472 Northwestern Hwy
Southfield, MI 48075
Phone (248) 595-7000

Organizations & group practices 2

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": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1497097448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24472 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752435",
            "telephone_number": "248-595-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24472 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752435",
            "telephone_number": "248-595-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELREFAI",
        "first_name": "RAMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-17",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022068",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025628",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.