Individual provider Active NPI

Rizwan Mufti, M.D.

  • Psychiatry Physician
  • Lathrup Village, MI
National Provider Identifier
1790739365
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35133181 Issued in OH
Practice address
26631 Southfield Rd
Lathrup Village, MI 48076-4530
Phone
(248) 552-8195
Fax
(248) 552-8537
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 4301064440 MI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35133181 OH Primary

Addresses

Primary practice location

26631 Southfield Rd
Lathrup Village, MI 48076-4530

Mailing address

35379 Northmont Dr
Farmington Hills, MI 48331-2648
Phone (248) 986-7500

Other identifiers 1

IdentifierTypeStateIssuer
1790739365MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmufti56593@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150225001927 MI Practitioner - Psychiatry 3971586074 Reassigns benefits to 2 organizations
I20250806002311 NC Practitioner - Psychiatry 3971586074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine and Rehabilitation Center PCGroup PAC ID 6103811518, 7 clinicians

Practice addresses (Care Compare)

2902 Central Heights Rd
Suite a C
Goldsboro, NC 27534-6513
Phone (919) 751-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301064440MIMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noor Healthcare PLLC Forensic Psychiatry Current Accepting new patients
Mercy Memorial Hospital Corporatio Multi-Specialty CurrentSince Sep 25, 2017 Accepting new patients
Family Medicine & Rehabilitation Center, PC Multi-Specialty CurrentSince May 23, 2025 Accepting new patients
Dimensions of Wellness, Inc., a Nonprofit Corporation Multi-Specialty CurrentSince Oct 18, 2023 Accepting new patients
Toledo Clinic Incorporated PastSince Oct 18, 2023 Accepting new patients
Advanced Wound Recovery - Boston, LLC Multi-Specialty Past Accepting new patients
Community Mental Health for Central Michigan Psychiatry PastSince Nov 24, 2019 Accepting new patients
David Wichnoski, O.D. , P.a. Multi-Specialty PastSince May 23, 2025 Accepting new patients

Locations

17461 Allen Rd
Melvindale, MI 48122
Phone (313) 364-9042

700 Stewart Rd
Ste 105
Monroe, MI 48162
Phone (734) 240-1760

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

2250 N Monroe St
Monroe, MI 48162
Phone (313) 920-8771

730 N Macomb St
Ste 419
Monroe, MI 48162
Phone (734) 241-3900

155 Parkway Office Ct
Ste 204
Cary, NC 27518
Phone (919) 781-1050

2902 Central Heights Rd
Ste Ac
Goldsboro, NC 27534

502 McKnight Dr
Ste 100B
Knightdale, NC 27545

210 Penny Ln
Morehead City, NC 28557
Phone (252) 247-4769

Interoperability endpoints

  • Direct secure messaging: rmufti1142356@direct.hfhs.org
  • Direct secure messaging: rmufti56593@direct.promedica.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063668

Organizations & group practices 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1790739365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35379 NORTHMONT DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312648",
            "telephone_number": "248-986-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26631 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764530",
            "telephone_number": "248-552-8195",
            "fax_number": "248-552-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFTI",
        "first_name": "RIZWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MI",
            "license": "4301064440",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35133181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790739365",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmufti56593@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.