Organization Active NPI

Rochester Neurological Center, PC

  • Neurology Physician
  • Rochester Hills, MI
National Provider Identifier
1598770232
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ROCHESTER NEUROLOGICAL CENTER, PC
Practice address
940 W Avon Rd
Suite 8
Rochester Hills, MI 48307-2760
Phone
(248) 651-5600
Fax
(248) 651-0300
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Muhammad A Khan, M.D.NPI 1558384693
Title
Owner
Phone
(248) 651-5600

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

940 W Avon Rd
Suite 8
Rochester Hills, MI 48307-2760

Mailing address

PO Box 1108
Attn: Barb Simmons
Ann Arbor, MI 48106-1108
Phone (734) 677-7400

Other identifiers 3

IdentifierTypeStateIssuer
0F33871OtherMIBCBS OF MI GROUP PIN
1306330221OtherMIBCBS
DC0138OtherMIRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000996 MI Part B Supplier - Clinic/Group Practice 4587651856 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

940 W Avon Rd
Ste 8
Rochester Hills, MI 48307
Phone (248) 651-5600

940 W Avon Rd
Ste B
Rochester Hills, MI 48307

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1598770232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTN: BARB SIMMONS",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W AVON RD",
            "address_2": "SUITE 8",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-651-5600",
            "fax_number": "248-651-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER NEUROLOGICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI GROUP PIN",
            "identifier": "0F33871",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1306330221",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0138",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.