Organization Active NPI

Zeia Casab Rueda MD

  • Cardiovascular Disease Physician
  • Detroit, MI
National Provider Identifier
1609142900
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301033492 Issued in MI
Legal business name
ZEIA CASAB RUEDA MD
Practice address
5662 W Vernor Hwy
Detroit, MI 48209-2158
Phone
(313) 841-3310
Fax
(313) 841-6513
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mr. Armin Casab
Title
Office Manager
Phone
(313) 656-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 4301033492 MI Primary

Addresses

Primary practice location

5662 W Vernor Hwy
Detroit, MI 48209-2158

Mailing address

1320 Wilkins St
Detroit, MI 48207-4802
Phone (313) 656-2150

Other identifiers 1

IdentifierTypeStateIssuer
2825728MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1609142900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WILKINS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074802",
            "telephone_number": "313-656-2150",
            "fax_number": "313-656-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5662 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092158",
            "telephone_number": "313-841-3310",
            "fax_number": "313-841-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEIA CASAB RUEDA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "CASAB",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-656-2150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301033492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2825728",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.