NPIMap

Individual provider Active NPI

Razmig A Haladjian, M.D.

  • Interventional Pain Medicine Physician
  • Brownstown, MI
National Provider Identifier
1750335188
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
RH077632 Issued in MI
Practice address
19725 Allen Rd
Suite a
Brownstown, MI 48183-1090
Phone
(734) 479-7246
NPI assigned
May 20, 2006
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X RH077632 MI Primary

Addresses

Primary practice location

19725 Allen Rd
Suite a
Brownstown, MI 48183-1090

Mailing address

255 West Michigan Avenue
P O Box 1123
Jackson, MI 49204-1123
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000156 MI Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6406868165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Interventional Pain Center,PCGroup PAC ID 5799797452, 5 clinicians

Practice addresses (Care Compare)

19725 Allen Rd
Brownstown TWP, MI 48183-1090
Phone (734) 479-7246

24430 Ford Rd
Suite a
Dearborn Heights, MI 48127-3280
Phone (313) 565-6782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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

State licenses

LicenseStateTypeSpecialty
RH077632MIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Interventional Pain Center,PC Interventional Pain Medicine CurrentSince Jul 1, 2006 Accepting new patients
Universal Health Group, Inc. Past Accepting new patients
Town Center Mda PastSince Jul 24, 2015 Accepting new patients
Southeastern Michigan Anesthesia Past Accepting new patients
Universal Health Group, Inc Past Accepting new patients
Associated Medical Inc Past Accepting new patients
Associated Surgical Center of Dearborn LLC PastSince Aug 25, 2011 Accepting new patients
Turn Key Anesthesia, PLLC Past Accepting new patients
Detroit Anesthesia Group PLLC Past Accepting new patients

Locations

19725 Allen Rd
Bldg 1
Brownstown Twp, MI 48183
Phone (313) 277-6700

19725 Allen Rd
Ste A
Brownstown Twp, MI 48183
Phone 3132776700316

19725 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-2371

2040 Monroe St
Ste 206
Dearborn, MI 48124
Phone (313) 565-6782

24430 Ford Rd
Ste B
Dearborn Heights, MI 48127
Phone (248) 429-9145

24420 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 202-9400

24430 Ford Rd
Ste A
Dearborn Heights, MI 48127
Phone (313) 274-1292

730 N Macomb St
Ste 300
Monroe, MI 48162
Phone (734) 235-5296

1030 N Monroe St
#O
Monroe, MI 48162
Phone (734) 682-3309

11650 Belleville Rd
Ste 105
Van Buren Township, MI 48111
Phone (734) 325-6282

Interoperability endpoints

  • Direct secure messaging: rhaladjian1131076@direct.hfhs.org

Organizations & group practices 9

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1750335188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WEST MICHIGAN AVENUE",
            "address_2": "P O BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492041123",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "address_2": "SUITE A",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481831090",
            "telephone_number": "734-479-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALADJIAN",
        "first_name": "RAZMIG",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "RH077632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.