Organization Active NPI

Rafia Khalil Arthritis & Rheumatology Center PC

  • Specialist
  • Port Huron, MI
National Provider Identifier
1720413115
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301070994 Issued in MI
Legal business name
RAFIA KHALIL ARTHRITIS & RHEUMATOLOGY CENTER PC
Practice address
1201 Stone St
Suite 3
Port Huron, MI 48060-3563
Phone
(810) 985-5000
Fax
(810) 985-3700
NPI assigned
Sep 4, 2013
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Rafia Khalil, MDNPI 1114907912
Title
Owner/Physician
Phone
(810) 985-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301070994 MI Primary

Addresses

Primary practice location

1201 Stone St
Suite 3
Port Huron, MI 48060-3563

Mailing address

1201 Stone St
Suite 3
Port Huron, MI 48060-3563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131111001677 MI Part B Supplier - Clinic/Group Practice 0345476875 Receives reassigned benefits from 4 practitioners
Practice locations: Port Huron, MI

National Provider Directory

National Provider Directory

Locations

1201 Stone St
Ste 3
Port Huron, MI 48060
Phone (810) 982-8742

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1720413115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 STONE ST",
            "address_2": "SUITE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 STONE ST",
            "address_2": "SUITE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603563",
            "telephone_number": "810-985-5000",
            "fax_number": "810-985-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIA KHALIL ARTHRITIS & RHEUMATOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "RAFIA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "810-985-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301070994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.