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

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.

Hospital & facility affiliations 11

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

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 Hospital · Farmington Hills, MI · CCN 230151
  • Beaumont Hospital Royal Oak Hospital · Royal Oak, MI · CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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 IDStateProvider typePAC IDDetails
I20060908000173 MI Practitioner - Internal Medicine 2769486596 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roger D Ajluni MD PC Current
since Jan 29, 2009
Accepting new patients

Locations

17920 Farmington Rd
Livonia, MI 48152
Phone (734) 425-5200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2008.

{
    "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

All providers in Livonia, MI · Internal Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.