NPIMap

Organization Active NPI

Ayman Tarabishy MD PLLC

Doing business as Enhance Center for Interventional Spine and Sports

  • Pain Medicine (Anesthesiology) Physician
  • Livonia, MI
National Provider Identifier
1548624984
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301099489 Issued in MI
Legal business name
AYMAN TARABISHY MD PLLC
Doing business as
Enhance Center for Interventional Spine and Sports
Practice address
34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093
Phone
(248) 900-1555
Fax
(502) 977-8803
NPI assigned
Apr 12, 2016
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Ayman Tarabishy, MDNPI 1568751550
Title
Owner
Phone
(201) 982-3787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301099489 MI Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093

Mailing address

PO Box 30148
Belfast, ME 04915-2053
Phone (888) 488-8289

Other practice location 1

42645 Garfield Rd Ste 103
Clinton Township, MI 48038-5022
Phone (586) 286-7246

Other identifiers 1

IdentifierTypeStateIssuer
1548624984MedicaidMI

Other names 1

  • Enhance Center for Interventional Spine and Sports Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803001387 MI Part B Supplier - Clinic/Group Practice 0446521850 Receives reassigned benefits from 13 practitioners
Practice locations: Clinton Township, MI; Livonia, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1548624984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30148",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152053",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34020 7 MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523093",
            "telephone_number": "248-900-1555",
            "fax_number": "502-977-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42645 Garfield Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480385022",
            "country_code": "US",
            "telephone_number": "586-286-7246",
            "fax_number": "586-329-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AYMAN TARABISHY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "TARABISHY",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-982-3787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301099489",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548624984",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhance Center for Interventional Spine and Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.