Organization Active NPI

Metro Detroit Pain and Rehab

  • Pain Medicine Physician
  • Ferndale, MI
National Provider Identifier
1548626682
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
METRO DETROIT PAIN AND REHAB
Practice address
1200 W 9 Mile Rd
Ferndale, MI 48220-1299
Phone
(248) 291-6873
Fax
(248) 291-6882
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Kayur Patel, MD
Title
President
Phone
(248) 291-6873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1200 W 9 Mile Rd
Ferndale, MI 48220-1299

Mailing address

1200 W 9 Mile Rd
Ferndale, MI 48220-1299
Phone (248) 291-6873

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1548626682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201299",
            "telephone_number": "248-291-6873",
            "fax_number": "248-291-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201299",
            "telephone_number": "248-291-6873",
            "fax_number": "248-291-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DETROIT PAIN AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAYUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-291-6873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "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": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.