Active NPI
Annabella Rabban
- Physician Assistant
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6330 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-2398 - Phone
- (248) 462-6045
- Fax
- (248) 855-6213
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
6330 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-2398
Mailing address
259 Mack Ave
Detroit, MI 48201-2427
Other practice location 1
9640 Commerce Rd Ste 100
Commerce Township, MI 48382-4167
Phone (248) 482-2101
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43900 Garfield Rd
Clinton Township, MI 48038-1137
Phone (586) 286-0112
46325 W 12 Mile Rd
Suite 370 Associated Dermatologists
Novi, MI 48377-2464
Phone (248) 482-2107
6330 Orchard Lake Rd
Suite 120
West Bloomfield, MI 48322-2398
Phone (248) 462-6045
9640 Commerce Rd
Suite 100
Commerce Township, MI 48382-4167
Phone (248) 482-2101
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald D Kerwin MD PC | Past | Accepting new patients |
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.
-
- Dermatopathology Physician
- Clinton Township, MI
- NPI 1003095084
-
- Dermatology Physician
- West Bloomfield, MI
- NPI 1992754485
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1609642156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 ORCHARD LAKE RD STE 120",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222398",
"telephone_number": "248-462-6045",
"fax_number": "248-855-6213"
}
],
"practiceLocations": [
{
"address_1": "9640 Commerce Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Commerce Township",
"state": "MI",
"postal_code": "483824167",
"country_code": "US",
"telephone_number": "248-482-2101",
"fax_number": "248-694-6391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RABBAN",
"first_name": "ANNABELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.