Individual provider Active NPI

Rahimah Ben-Asad Ray-El

  • Pain Clinic/Center
  • Southfield, MI
National Provider Identifier
1902205859
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
802619511 Issued in MI
Practice address
20905 Greenfield Rd Ste 200
Southfield, MI 48075-5346
Phone
(248) 809-3119
Fax
(248) 996-8273
NPI assigned
Aug 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 35952420140312 MN
Pain Clinic/Center 261QP3300X 802619511 MI Primary

Addresses

Primary practice location

20905 Greenfield Rd Ste 200
Southfield, MI 48075-5346

Mailing address

20905 Greenfield Rd
Southfield, MI 48075-5360
Phone (248) 809-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
802619511MIMDPain Clinic/Center
35952420140312MNMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Dreams Essential Care Current Accepting new patients
Essential Health Systems Pain Current Accepting new patients
Vitality Health LLC Pain Current Accepting new patients
Care R US Past Accepting new patients

Locations

20905 Greenfield Rd
Ste 200
Southfield, MI 48075
Phone (248) 424-8100

20905 Greenfield Rd
Southfield, MI 48075
Phone (248) 569-5577

Organizations & group practices 4

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": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1902205859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-809-3119",
            "fax_number": "248-996-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755346",
            "telephone_number": "248-809-3119",
            "fax_number": "248-996-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY-EL",
        "first_name": "RAHIMAH",
        "middle_name": "BEN-ASAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "35952420140312",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MI",
            "license": "802619511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.