Individual provider Active NPI

Alexandra A Riabova, MD

  • Internal Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1669452116
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065264 Issued in MI
Practice address
23800 Ford Rd
Dearborn Heights, MI 48127-3200
Phone
(313) 274-8181
Fax
(313) 274-7843
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301065264 MI Primary

Addresses

Primary practice location

23800 Ford Rd
Dearborn Heights, MI 48127-3200

Mailing address

23800 Ford Rd
Dearborn Heights, MI 48127-3200
Phone (313) 274-8181

Other identifiers 1

IdentifierTypeStateIssuer
45605560-10MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000130 MI Practitioner - Internal Medicine 0648164145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23800 Ford Rd
Dearborn Heights, MI 48127-3200
Phone (313) 274-8181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301065264MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H & R Medical Practice, PC Internal Medicine CurrentSince Oct 1, 2003 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

23800 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 274-8181

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBJHBA/Endpoint/JBJHBA
  • Direct secure messaging: ariabova419680@direct.hfhs.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1669452116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273200",
            "telephone_number": "313-274-8181",
            "fax_number": "313-274-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273200",
            "telephone_number": "313-274-8181",
            "fax_number": "313-274-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIABOVA",
        "first_name": "ALEXANDRA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45605560-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.