Individual provider Active NPI

Taha Alrahomi, M.D

  • Family Medicine Physician
  • Garden City, MI
National Provider Identifier
1568750198
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099545 Issued in MI
Practice address
29150 Ford Rd
Garden City, MI 48135-2848
Phone
(734) 762-3600
Fax
(734) 762-3611
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301099545 MI Primary

Addresses

Primary practice location

29150 Ford Rd
Garden City, MI 48135-2848

Mailing address

29150 Ford Rd
Garden City, MI 48135-2848
Phone (734) 762-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address talrahomi1223040@epic00.shdirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140627001147 MI Practitioner - Family Practice 7214152669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

29150 Ford Rd
Garden City, MI 48135-2848
Phone (734) 762-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC CurrentSince Jun 19, 2014 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jun 19, 2014 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

29150 Ford Rd
Garden City, MI 48135
Phone (734) 762-3600

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: talrahomi1223040@epic00.shdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1568750198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29150 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352848",
            "telephone_number": "734-762-3600",
            "fax_number": "734-762-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29150 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352848",
            "telephone_number": "734-762-3600",
            "fax_number": "734-762-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALRAHOMI",
        "first_name": "TAHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talrahomi1223040@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "29150 Ford Rd",
            "city": "Garden City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481352848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.