Active NPI
Rasha Jawad
- Obstetrics & Gynecology Physician
- Southfield, MI
National Provider Identifier
1508432683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4351051476
- Practice address
- 22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712 - Phone
- (248) 849-3401
- NPI assigned
- May 31, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4351051476 | MI | Primary |
Addresses
Primary practice location
22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712
Mailing address
3 Woodbridge CT
Dearborn, MI 48124-2132
Phone (313) 903-0422
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710003123 | MI | Order and Referring Only - Obstetrics/Gynecology | 6901265859 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351051476 | MI | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- rjawad1133308@direct.hfhs.org
- rasha.jawad.1@16555.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1508432683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WOODBRIDGE CT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242132",
"telephone_number": "313-903-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD STE 352",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753712",
"telephone_number": "248-849-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWAD",
"first_name": "RASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-31",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4351051476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.