Individual provider Active NPI

Racheed M Atassi, M.D.

  • Internal Medicine Physician
  • Romeo, MI
National Provider Identifier
1710969639
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301094667 Issued in MI
Practice address
241 N Main St
Romeo, MI 48065-4619
Phone
(586) 752-9694
NPI assigned
Nov 16, 2005
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 4301094667 MI Primary

Addresses

Primary practice location

241 N Main St
Romeo, MI 48065-4619

Mailing address

PO Box 37
Romeo, MI 48065-0037
Phone (586) 752-9694

Other identifiers 9

IdentifierTypeStateIssuer
1710969639MedicaidMI
543928003MedicaidAL
51523326OtherBC/BS - GOODWATER
51523499OtherBC/BS - SYLACAUGA
540003928MedicaidAL
1457583692OtherMIMEDICAID GROUP ID
529908510MedicaidAL
009975195MedicaidAL
1105004461OtherMIBCBSM

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
I20091015000277 MI Practitioner - Internal MedicinePractitioner - Infectious Disease 2062482557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 S Blvd E
Suite B75
Rochester Hills, MI 48307-6126
Phone (586) 752-9694

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthland P C CurrentSince Mar 15, 2022 Accepting new patients
Romeo Medical , PLLC CurrentSince Jul 14, 2012 Accepting new patients
Precise Medical Care PLLC Internal Medicine CurrentSince Sep 28, 2007 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Montgomery AIDS Outreach, Inc. Past Accepting new patients

Locations

820 W South Blvd
Montgomery, AL 36105
Phone 3342803349127

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

1701 South Blvd E
Ste B75
Rochester Hills, MI 48307
Phone (248) 243-3935

241 N Main St
Romeo, MI 48065
Phone (586) 752-9694

31700 Van Dyke Ave
Ste H
Warren, MI 48093
Phone (586) 445-2911

Interoperability endpoints

  • Direct secure messaging: ratassi1115566@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1710969639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480650037",
            "telephone_number": "586-752-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654619",
            "telephone_number": "586-752-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASSI",
        "first_name": "RACHEED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710969639",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543928003",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - GOODWATER",
            "identifier": "51523326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - SYLACAUGA",
            "identifier": "51523499",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003928",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP ID",
            "identifier": "1457583692",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908510",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009975195",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1105004461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

Verify at the official NPI Registry.