Organization Active NPI

Integritas Wellness Institute PLC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1902397334
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRITAS WELLNESS INSTITUTE PLC
Practice address
1639 E Big Beaver Rd Ste 202
Troy, MI 48083-2054
Phone
(248) 606-4190
Fax
(248) 598-5088
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. Aya Rifai, MDNPI 1114194958
Title
President
Phone
(248) 953-3780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1639 E Big Beaver Rd Ste 202
Troy, MI 48083-2054

Mailing address

PO Box 829
Bloomfld HLS, MI 48303-0829

Other practice location 1

30603 Southfield Rd
Southfield, MI 48076-7729
Phone (248) 953-3780

Other identifiers 1

IdentifierTypeStateIssuer
4301096697MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720002027 MI Part B Supplier - Clinic/Group Practice 5092062133 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomfield Hills, MI

National Provider Directory

National Provider Directory

Locations

36700 Woodward Ave
Ste 203
Bloomfield Hills, MI 48304
Phone (248) 519-2959

1639 E Big Beaver Rd
Ste 202
Troy, MI 48083
Phone (248) 606-4190

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1902397334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "BLOOMFLD HLS",
            "state": "MI",
            "postal_code": "483030829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832054",
            "telephone_number": "248-606-4190",
            "fax_number": "248-598-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30603 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480767729",
            "country_code": "US",
            "telephone_number": "248-953-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRITAS WELLNESS INSTITUTE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "AYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-953-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301096697",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.