Individual provider Active NPI

Anna N Rabbani, M.D.

  • Radiation Oncology Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1801955976
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301104307 Issued in MI
Practice address
19229 Mack Ave Ste 10
Radiation Oncology Specialists
Grosse Pointe Woods, MI 48236-2857
Phone
(313) 647-3100
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X TRN8270 FL
Radiation Oncology Physician 2085R0001X 4301089016 MI
Radiation Oncology Physician 2085R0001X 4301104307 MI Primary

Addresses

Primary practice location

19229 Mack Ave Ste 10
Radiation Oncology Specialists
Grosse Pointe Woods, MI 48236-2857

Mailing address

19775 Ida LN W
Grosse Pointe Woods, MI 48236-2523
Phone (703) 786-3978

Other names 1

  • Dr. Anna Alexandra Norris Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000543 MI Practitioner - Radiation Oncology 2365516564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Specialists PCGroup PAC ID 1355378753, 6 clinicians
North Macomb MRT Center LLCGroup PAC ID 6901973759, 7 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Radiation Oncology Spec PC
Warren, MI 48093-3472
Phone (586) 573-5000

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 868-9060

1901 Star Batt Dr
Rochester Hills, MI 48309-3767
Phone (248) 844-4000

19229 Mack Ave
Suite 10
Grosse Pointe Woods, MI 48236-2857
Phone (313) 647-3100

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN8270FLMDRadiation Oncology Physician
4301089016MIMDRadiation Oncology Physician
4301104307MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System North Macomb MRT Center LLC Radiation Oncology CurrentSince Jul 1, 2008 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 1, 2014 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 1, 2014 Accepting new patients
Henry Ford Health System Radiation Oncology Specialists PC Radiation Oncology CurrentSince Jul 28, 2008 Accepting new patients

Locations

2348 Momentum Pl
Chicago, IL 60689

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

19229 Mack Ave
Ste 10
Grosse Pointe Woods, MI 48236
Phone (313) 647-3000

17900 23 Mile Rd
Macomb, MI 48044
Phone (586) 286-6500

17900 23 Mile Rd
Ste 103
Macomb, MI 48044
Phone (586) 753-0927

1901 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4580

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: arabbani1145297@direct.hfhs.org

Organizations & group practices 5

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1801955976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19775 IDA LN W",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362523",
            "telephone_number": "703-786-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE STE 10",
            "address_2": "RADIATION ONCOLOGY SPECIALISTS",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362857",
            "telephone_number": "313-647-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBANI",
        "first_name": "ANNA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "TRN8270",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301089016",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301104307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "NORRIS",
            "middle_name": "ALEXANDRA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.