Individual provider Active NPI

Shafiq U Rehman

  • Nurse Practitioner
  • Canton, MI
National Provider Identifier
1720447477
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704253526 Issued in MI
Practice address
41667 Quail CT
Canton, MI 48188-5228
Phone
(313) 247-6013
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4704253526 MI Primary

Addresses

Primary practice location

41667 Quail CT
Canton, MI 48188-5228

Mailing address

41667 Quail CT
Canton, MI 48188-5228
Phone (313) 247-6013

Other names 1

  • Shafiq Ur Rehman Former name

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
I20160620000589 MI Practitioner - Nurse Practitioner 5294026415 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704253526MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Visiting Physicians PC Single Specialty CurrentSince Sep 23, 2017 Accepting new patients
Samina Ansar Ghazi MD PC Single Specialty CurrentSince Oct 1, 2016 Accepting new patients
Residential Visiting Physician Services PLLC. Single Specialty CurrentSince Oct 1, 2019 Accepting new patients
Dumitru Medical Center, P.C. Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Farnaz S Abhari MD PC Single Specialty Current Accepting new patients
Best Medical Center Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Sardar Zaman MD PC Single Specialty PastSince Aug 12, 2026 Accepting new patients

Locations

14551 Southfield Rd
Ste 1
Allen Park, MI 48101
Phone (313) 299-3420

33110 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (248) 390-9034

34020 7 Mile Rd
Ste 113
Livonia, MI 48152
Phone (313) 680-5544

38300 Van Dyke Ave
Ste 104
Sterling Hts, MI 48312
Phone (586) 274-4699

10 N Hewitt Rd
Ste 2
Ypsilanti, MI 48197
Phone (734) 484-0502

Organizations & group practices 7

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1720447477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41667 QUAIL CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885228",
            "telephone_number": "313-247-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41667 QUAIL CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885228",
            "telephone_number": "313-247-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "SHAFIQ",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704253526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAFIQ",
            "last_name": "REHMAN",
            "middle_name": "UR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.