Individual provider Active NPI

Michael Justin Ramar, DC, PES, CES

  • Sports Physician Chiropractor
  • Shelby Township, MI
National Provider Identifier
1750768222
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC011019 Issued in MI
Practice address
2061 25 Mile Rd
Shelby Township, MI 48316
Phone
(248) 710-3236
NPI assigned
May 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC011019 MI Primary

Addresses

Primary practice location

2061 25 Mile Rd
Shelby Township, MI 48316

Mailing address

2061 25 Mile Rd
Shelby Township, MI 48316-0941
Phone (248) 710-3236

Other practice location 1

14843 Lakeside Blvd N
Shelby Township, MI 48315-6220
Phone (586) 226-5357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170310000869 MI Practitioner - Chiropractic 4688981038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramar Chiropractic and Rehab PLLCGroup PAC ID 1456780725, 3 clinicians
Thriverx PLLCGroup PAC ID 1557891538, 2 clinicians

Practice addresses (Care Compare)

2061 25 Mile Rd
Shelby Township, MI 48316-0941
Phone (248) 710-3236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011019MIMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thriverx PLLC Sports Physician CurrentSince Dec 1, 2024 Accepting new patients
Ramar Chiropractic and Rehab PLLC Single Specialty CurrentSince Sep 1, 2019 Accepting new patients

Locations

2061 25 Mile Rd
Unit 12
Shelby Township, MI 48316

7500 26 Mile Rd
Shelby Township, MI 48316
Phone (586) 566-9116

2061 25 Mile Rd
Shelby Township, MI 48316
Phone (248) 710-3236

Organizations & group practices 2

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1750768222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 25 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483160941",
            "telephone_number": "248-710-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 25 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "248-710-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14843 Lakeside Blvd N",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483156220",
            "country_code": "US",
            "telephone_number": "586-226-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAR",
        "first_name": "MICHAEL",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC, PES, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "DC011019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.