Individual provider Active NPI

Rita Sahakian, NP

  • Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1790139251
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704279880 Issued in MI
Practice address
43184 Dequindre Rd Ste 202
Sterling Heights, MI 48314-1709
Phone
(586) 580-0280
Fax
(586) 580-0281
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704279880 MI Primary

Addresses

Primary practice location

43184 Dequindre Rd Ste 202
Sterling Heights, MI 48314-1709

Mailing address

43184 Dequindre Rd Ste 202
Sterling Heights, MI 48314-1709
Phone (586) 580-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001139 MI Practitioner - Nurse Practitioner 7517258478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704279880MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forum Medical Clinic, PC CurrentSince Jun 1, 2016 Accepting new patients

Locations

43184 Dequindre Rd
Ste 202
Sterling Hts, MI 48314
Phone (586) 580-0280

44645 Mound Rd
Sterling Hts, MI 48314
Phone (586) 580-0280

Interoperability endpoints

  • Direct secure messaging: rcangemi367295@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1790139251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43184 DEQUINDRE RD STE 202",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141709",
            "telephone_number": "586-580-0280",
            "fax_number": "586-580-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43184 DEQUINDRE RD STE 202",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141709",
            "telephone_number": "586-580-0280",
            "fax_number": "586-580-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAKIAN",
        "first_name": "RITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704279880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.