Individual provider Active NPI

Rama Al Khayat, PA-C

  • Medical Physician Assistant
  • Bloomfield Hills, MI
National Provider Identifier
1730916172
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601012588 Issued in MI
Practice address
6000 Revere PL Apt 42H
Bloomfield Hills, MI 48301-1769
Phone
(248) 480-5838
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 5601012588 MI Primary

Addresses

Primary practice location

6000 Revere PL Apt 42H
Bloomfield Hills, MI 48301-1769

Mailing address

6000 Revere PL Apt 42H
Bloomfield Hills, MI 48301-1769
Phone (248) 480-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5601012588MIMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1730916172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 REVERE PL APT 42H",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011769",
            "telephone_number": "248-480-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 REVERE PL APT 42H",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011769",
            "telephone_number": "248-480-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KHAYAT",
        "first_name": "RAMA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601012588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.