NPIMap

Organization Active NPI

Aliraza Jaffer MD PLLC

Doing business as Regenerative Pain Medicine

  • Pain Medicine Physician
  • Troy, MI
National Provider Identifier
1528836756
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ALIRAZA JAFFER MD PLLC
Doing business as
Regenerative Pain Medicine
Practice address
1560 E Maple Rd Ste 290
Troy, MI 48083-1135
Phone
(248) 749-6630
Fax
(888) 248-6777
NPI assigned
Dec 18, 2023
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Ali Jaffer, MD
Title
Owner
Phone
(248) 515-6336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1560 E Maple Rd Ste 290
Troy, MI 48083-1135

Mailing address

801 Joe Mann Blvd Ste P-6
Midland, MI 48642-8900
Phone (989) 791-2455

Other names 1

  • Regenerative Pain Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231227000181 MI Part B Supplier - Clinic/Group Practice 2466802996 Receives reassigned benefits from 2 practitioners
Practice locations: Troy, MI
O20250826002341 MI DME Supplier - Physician - Interventional Pain Management 2466802996 Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

1560 E Maple Rd
Ste 290
Troy, MI 48083
Phone (248) 515-6336

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1528836756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE P-6",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428900",
            "telephone_number": "989-791-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD STE 290",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-749-6630",
            "fax_number": "888-248-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIRAZA JAFFER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-515-6336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regenerative Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.