Roger David Ajluni
Individual provider Active NPI Internal Medicine Physician · Livonia, MI
NPI 1760439145 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1760439145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301082209 (MI)
- Practice address
- 17920 Farmington Rd
Livonia, MI 48152-3104 - Phone
- (734) 425-5200
- Fax
- (734) 425-7755
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
17920 Farmington Rd
Livonia, MI 48152-3104
Phone (734) 425-5200
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital Royal Oak
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060908000173 | MI | Practitioner - Internal Medicine | 2769486596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger D Ajluni MD PC | Current |
Accepting new patients |
Locations
17920 Farmington Rd
Livonia, MI 48152
Phone (734) 425-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301082209 | MI | Yes |
Addresses
Primary practice location
17920 Farmington Rd
Livonia, MI 48152-3104
Mailing address
17920 Farmington Rd
Livonia, MI 48152-3104
Phone (734) 425-5200
NPI Registry JSON
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1760439145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17920 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523104",
"telephone_number": "734-425-5200",
"fax_number": "734-425-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17920 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523104",
"telephone_number": "734-425-5200",
"fax_number": "734-425-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJLUNI",
"first_name": "ROGER",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301082209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
- Aisha Tayeeba Ahmed
- Munazza Ahmed
- Syed Tanvir Ahmed
- Deborah Suzanne Aidem
- Ernest Ajluni
- Victor Christopher Ajluni
- Aya Ajrouche
- Angela Akbarpour
- Christine J Ake
- Anu Akinola
All providers in Livonia, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.