Mahasti Rahmanizadeh, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301084150 Issued in MI

Practice address

385 N Lapeer Rd
Oxford, MI 48371-3610

Phone

(248) 628-3000

Fax

(248) 628-2781

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLaren Oakland

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1053463778
  Medicare reassignment
• McLaren Oakland

  • Psychiatric Hospital Unit
  • Pontiac, MI
  • NPI 1245817881
  NPD
• McLaren Oakland

  dba POH Regional Medical Center

  • General Practice Physician
  • Pontiac, MI
  • NPI 1790055143

  Pediatrics

  NPD
• McLaren Oakland

  • Emergency Medicine Physician
  • Oxford, MI
  • NPI 1528468220
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811002918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5516",
            "fax_number": "248-338-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 N LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483713610",
            "telephone_number": "248-628-3000",
            "fax_number": "248-628-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMANIZADEH",
        "first_name": "MAHASTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4701111-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Quansah
• Jack Quigley, R.N.
• Rebekah A Quinn
• Jennifer Anne Raab
• Kelly Jean Ragan
• Adam Rainey
• Ashley N Ratliff
• Ready Care of Michigan
• Diane Regan, CRC, LPC
• Catherine Marylynn Reitano, RN

• Pediatrics Physician in Oxford, MI
• Providers in Oxford, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.