Individual provider Active NPI

Shini Raphael, AU.D.

  • Audiologist
  • Plymouth, MI
National Provider Identifier
1689959983
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000591 Issued in MI
Practice address
705 S Main St
Suite 101
Plymouth, MI 48170-2089
Phone
(734) 451-0800
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000591 MI Primary

Addresses

Primary practice location

705 S Main St
Suite 101
Plymouth, MI 48170-2089

Mailing address

705 S Main St
Plymouth, MI 48170-2089
Phone (734) 451-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000271 MI Practitioner - Qualified Audiologist 1254506413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Jan 13, 2018 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Jan 13, 2018 Accepting new patients

Locations

1052 Cleaver Rd
Caro, MI 48723
Phone (989) 673-2933

26834 Lawrence
Center Line, MI 48015
Phone (586) 755-2300

13450 Farmington Rd
Livonia, MI 48150
Phone (734) 421-2041

705 S Main St
Ste 101
Plymouth, MI 48170
Phone (248) 356-7773

705 S Main St
Plymouth, MI 48170
Phone (734) 277-1810

6475 Rochester Rd
Troy, MI 48085
Phone (248) 813-0533

113 E Long Lake Rd
Ste B
Troy, MI 48085
Phone (248) 435-6811

4835 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 356-7773

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411776000000",
    "number": "1689959983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702089",
            "telephone_number": "734-451-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702089",
            "telephone_number": "734-451-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "SHINI",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2014-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; 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.