Organization Active NPI

Metropolitan Rehabilitation Clinics, Inc.

  • Methadone Clinic
  • Oak Park, MI
National Provider Identifier
1811020035
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
630417 Issued in MI
Legal business name
METROPOLITAN REHABILITATION CLINICS, INC.
Practice address
20820 Greenfield Rd Ste 100
Oak Park, MI 48237-3051
Phone
(248) 967-4310
Fax
(248) 967-4301
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Ammar Mehdi Khan, JD
Title
President
Phone
(248) 967-4310

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 630417 MI
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 630417 MI
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X 630417 MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6804086872 MI
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 4301037643 MI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 630417 MI
Methadone Clinic 261QM2800X 630417 MI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 630417 MI

Addresses

Primary practice location

20820 Greenfield Rd Ste 100
Oak Park, MI 48237-3051

Mailing address

20820 Greenfield Rd Ste 100
Oak Park, MI 48237-3051
Phone (248) 967-4310

Other identifiers 1

IdentifierTypeStateIssuer
20445OtherMIBLUE CROSS BLUE SHIELD

Other names 2

  • Metro Recovery Center Doing business as
  • MRC INC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051209000233 MI Part B Supplier - Clinic/Group Practice 8022039742 Receives reassigned benefits from 8 practitioners
Practice locations: Oak Park, MI
O20191209000234 MI Part B Supplier - Opioid Treatment Program (Otp) 8022039742 Practice locations: Oak Park, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2142452Metropolitan Rehabilitation Clinics, Inc20820 Greenfield Road Suite 100, Oak Park, MI 48237Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

20820 Greenfield Rd
Ste 100
Oak Park, MI 48237
Phone (248) 967-4301

21700 Greenfield Rd
Ste 130
Oak Park, MI 48237
Phone (248) 967-4310

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1811020035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20820 GREENFIELD RD STE 100",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373051",
            "telephone_number": "248-967-4310",
            "fax_number": "248-967-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20820 GREENFIELD RD STE 100",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373051",
            "telephone_number": "248-967-4310",
            "fax_number": "248-967-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN REHABILITATION CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_middle_name": "MEHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-967-4310",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "630417",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "630417",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "630417",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6804086872",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301037643",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "630417",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "630417",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "630417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20445",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MRC INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MRC INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.