Individual provider Active NPI

Ratan Rajani, MD

  • Surgery Physician
  • Lapeer, MI
National Provider Identifier
1831297621
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RR047971 Issued in MI
Practice address
844 S Main St
Lapeer, MI 48446-3027
Phone
(810) 664-4100
Fax
(810) 664-9250
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RR047971 MI Primary

Addresses

Primary practice location

844 S Main St
Lapeer, MI 48446-3027

Mailing address

844 S Main St
Lapeer, MI 48446-3027
Phone (810) 664-4100

Other identifiers 4

IdentifierTypeStateIssuer
020004694OtherMIRAILROAD MEDICARE
020D410180OtherMIBCN GRP BILL PIN
160711610MedicaidMI
0204412402OtherMIBLUECROSS AND BLUE SHIELD OF MICHIGAN

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
I20080604000381 MI Practitioner - General Surgery 8224107321 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RR047971MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Health Services CurrentSince Dec 1, 2014 Accepting new patients
Hurley Health Services Surgery CurrentSince Dec 1, 2014 Accepting new patients

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

844 S Main St
Lapeer, MI 48446
Phone (810) 284-1034

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1831297621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463027",
            "telephone_number": "810-664-4100",
            "fax_number": "810-664-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463027",
            "telephone_number": "810-664-4100",
            "fax_number": "810-664-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANI",
        "first_name": "RATAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "RR047971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020004694",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GRP BILL PIN",
            "identifier": "020D410180",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160711610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUE SHIELD OF MICHIGAN",
            "identifier": "0204412402",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.