Raouf Seifeldin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RS055306 Issued in MI

Practice address

461 W Huron St
Suite 107
Pontiac, MI 48341-1601

Phone

(248) 857-7432

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wayne County Treasurer Payroll-County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Wayne, MI
  • NPI 1538543160

  Corporate Director

  CMS ownership
• Wayne County Treasurer Payroll-County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Garden City, MI
  • NPI 1609721364

  Corporate Officer

  CMS ownership
• Wayne County Treasurer-Payroll County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Hamtramck, MI
  • NPI 1700215977

  Corporate Officer

  CMS ownership

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.

• Wayne County Treasurer-Payroll County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Hamtramck, MI
  • NPI 1700215977

  MI

  Medicare reassignment
• North Oakland ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Waterford, MI
  • NPI 1942393475
  NPD (past)
• Oakland Physicians Medical Center

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1366739815
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1649468554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "address_2": "SUITE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFELDIN",
        "first_name": "RAOUF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RS055306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4383320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Secord, DO
• Seera LLC
• Benjamin D Sefcik, DPM
• Gita Seferi
• Daniel Howard Seidman, D.O.
• Bethel Kassahun Seifu
• Select Specialty Hospital - Pontiac Inc
• Marisa Ariel Seltzer, LMSW
• Jennifer Robert Semaan, DO
• Mohamed Mostafa Seoudi, MD

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, 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 Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.