Individual provider Active NPI

Rania Krayem, PA-C

  • Medical Physician Assistant
  • Dearborn, MI
National Provider Identifier
1689197659
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008188 Issued in MI
Practice address
6450 Maple St
Dearborn, MI 48126-2259
Phone
(313) 216-2246
Fax
(313) 584-3206
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601008188 MI Primary

Addresses

Primary practice location

6450 Maple St
Dearborn, MI 48126-2259

Mailing address

6450 Maple St
Dearborn, MI 48126-2259
Phone (313) 216-2246

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208000396 MI Practitioner - Physician Assistant 9234499419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601008188MIMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: rkrayem431954@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689197659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262259",
            "telephone_number": "313-216-2246",
            "fax_number": "313-584-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262259",
            "telephone_number": "313-216-2246",
            "fax_number": "313-584-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYEM",
        "first_name": "RANIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.