Active NPI
Rizwan Mufti, M.D.
- Psychiatry Physician
- Lathrup Village, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35133181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 4301064440 | MI | |
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790739365 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmufti56593@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301064440 | MI | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noor Healthcare PLLC | Forensic Psychiatry | Current | Accepting new patients |
| Mercy Memorial Hospital Corporatio | Multi-Specialty | Current | Accepting new patients |
| Family Medicine & Rehabilitation Center, PC | Multi-Specialty | Current | Accepting new patients |
| Dimensions of Wellness, Inc., a Nonprofit Corporation | Multi-Specialty | Current | Accepting new patients |
| Toledo Clinic Incorporated | Past | Accepting new patients | |
| Advanced Wound Recovery - Boston, LLC | Multi-Specialty | Past | Accepting new patients |
| Community Mental Health for Central Michigan | Psychiatry | Past | Accepting new patients |
| David Wichnoski, O.D. , P.a. | Multi-Specialty | Past | 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
- rmufti1142356@direct.hfhs.org
- rmufti56593@direct.promedica.org
- 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Goldsboro, NC
- NPI 1457436917
Multi-Specialty
-
- Psychiatry Physician
- Melvindale, MI
- NPI 1942840731
Multi-Specialty
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
Multi-Specialty
-
- Forensic Psychiatry Physician
- Monroe, MI
- NPI 1093527152
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1609412840
-
- Internal Medicine Physician
- Waltham, MA
- NPI 1316958150
Multi-Specialty
-
- Podiatrist
- Toledo, OH
- NPI 1457346462
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.