Rochester Hills Ambulatory Care Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROCHESTER HILLS AMBULATORY CARE CENTER PLLC

Practice address

1498 Walton Blvd
Rochester Hills, MI 48309-1739

Phone

(248) 652-1365

Fax

(248) 652-1042

NPI assigned

May 18, 2006

Last updated

Sep 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raad P Kasmikha, MDNPI 1558330332

Title

President

Phone

(248) 652-1365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayad Shawkat Jazrawi, M.D.

  • Interventional Cardiology Physician
  • Clawson, MI
  • NPI 1760605166

  Internal Medicine

  Medicare reassignment NPD
• Zakwan Mahjoub, M.D.

  • Interventional Cardiology Physician
  • Rochester Hills, MI
  • NPI 1316916729
  Medicare reassignment
• Raad P Kasmikha, MD

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1558330332
  NPD (past) Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1629021068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091739",
            "telephone_number": "248-652-1365",
            "fax_number": "248-652-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091739",
            "telephone_number": "248-652-1365",
            "fax_number": "248-652-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER HILLS AMBULATORY CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "KASMIKHA",
        "authorized_official_first_name": "RAAD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-652-1365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rochester Hills Health Services
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• Rochester Hills Medical Center P.C.

• Internal Medicine Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.