Organization Active NPI

Arthritis and Autoimmunity Clinic PLLC

  • Rheumatology Physician
  • Canton, MI
National Provider Identifier
1548939143
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ARTHRITIS AND AUTOIMMUNITY CLINIC PLLC
Practice address
6300 N Haggerty Rd Ste 210
Canton, MI 48187-4472
Phone
(208) 891-9467
Fax
(734) 721-0041
NPI assigned
Sep 8, 2021
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Ambreen Ashraf, MDNPI 1861656746
Title
Cmo
Phone
(208) 891-9467

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

6300 N Haggerty Rd Ste 210
Canton, MI 48187-4472

Mailing address

1737 Crestview Dr
Canton, MI 48188-2044
Phone (208) 891-9467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210916001350 MI Part B Supplier - Clinic/Group Practice 1355748492 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1548939143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CRESTVIEW DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882044",
            "telephone_number": "208-891-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N HAGGERTY RD STE 210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874472",
            "telephone_number": "208-891-9467",
            "fax_number": "734-721-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS AND AUTOIMMUNITY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "AMBREEN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "208-891-9467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.