Individual provider Active NPI

Hangming Ruan, PA

  • Physician Assistant
  • West Bloomfield, MI
National Provider Identifier
1518230671
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008978 Issued in MI
Practice address
5761 W Maple Rd
West Bloomfield, MI 48322-4493
Phone
(248) 626-6892
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008978 MI Primary

Addresses

Primary practice location

5761 W Maple Rd
West Bloomfield, MI 48322-4493

Mailing address

19234 Windridge Dr
Northville, MI 48167-3919
Phone (248) 719-7168

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
I20120608000343 MI Practitioner - Physician Assistant 2961562764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008978MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Group, P.C. Past Accepting new patients
Universal Health Group, Inc Past Accepting new patients
Universal Health Group, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1518230671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19234 WINDRIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673919",
            "telephone_number": "248-719-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224493",
            "telephone_number": "248-626-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUAN",
        "first_name": "HANGMING",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.