Mercy Family Care Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301094540 Issued in MI

Legal business name

MERCY FAMILY CARE CENTER PLLC

Practice address

4091 Chatwal CT
Troy, MI 48085-0001

Phone

(248) 854-4206

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Raad Al-Khouri, M.D.NPI 1467616904

Title

Owner

Phone

(248) 854-4206

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raad Razouki Al-Khouri, M.D.

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1467616904

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Ghidah Edmon Al-Khouri

  • Family Medicine Physician
  • Troy, MI
  • NPI 1427289081
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1598202467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 CHATWAL CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480850001",
            "telephone_number": "248-854-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 CHATWAL CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480850001",
            "telephone_number": "248-854-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY FAMILY CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "AL-KHOURI",
        "authorized_official_first_name": "RAAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-854-4206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094540",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Warren Mendelson, MD
• Richard Meng, PA-C
• Frank Mercadante, PA-C
• Delaney Marie Mercer
• Erin Joy Mercer, LPC
• Amanda Lee Meredith
• Emily Meredith, PHARMD
• Kamani Meriwether, DMD
• Sarah Merrifield, LLMSW
• Lisa M Merrill, CRNA

• Family Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.