NPIMap

Organization Active NPI

Michigan Family Medicine and Urgent Care

  • Family Medicine Physician
  • Dewitt, MI
National Provider Identifier
1497225403
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHIGAN FAMILY MEDICINE AND URGENT CARE
Practice address
13811 Myrtle Dr
Dewitt, MI 48820-8509
Phone
(989) 400-2889
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Muhammad Salman Rais, MD
Title
Owner
Phone
(989) 400-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13811 Myrtle Dr
Dewitt, MI 48820-8509

Mailing address

13811 Myrtle Dr
Dewitt, MI 48820-8509
Phone (989) 400-2889

Other practice location 1

814 E Lincoln Ave
Ionia, MI 48846-1314
Phone (616) 527-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181217000716 MI Part B Supplier - Clinic/Group Practice 4981949179 Receives reassigned benefits from 34 practitioners
Practice locations: Southfield, MI; Oak Park, MI; Madison Heights, MI; Lambertville, MI; Jackson, MI; Hastings, MI; Grand Ledge, MI; Brighton, MI…

National Provider Directory

National Provider Directory

Locations

36454 Groesbeck Hwy
Clinton Twp, MI 48035
Phone (586) 519-9116

6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822

20820 Greenfield Rd
#2
Oak Park, MI 48237
Phone (586) 733-0334

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1497225403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 MYRTLE DR",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208509",
            "telephone_number": "989-400-2889",
            "fax_number": "517-604-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13811 MYRTLE DR",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208509",
            "telephone_number": "989-400-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 E Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488461314",
            "country_code": "US",
            "telephone_number": "616-527-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN FAMILY MEDICINE AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SALMAN RAIS",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-400-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.