Individual provider Active NPI

Mariela Louise Aguas Paras, RPT

  • Physical Medicine & Rehabilitation Physician
  • Wayne, MI
National Provider Identifier
1902467285
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5501017766 Issued in MI
Practice address
3999 Venoy Rd
Wayne, MI 48184-1485
Phone
(734) 727-0440
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5501017766 MI Primary

Addresses

Primary practice location

3999 Venoy Rd
Wayne, MI 48184-1485

Mailing address

3999 Venoy Rd
Wayne, MI 48184-1485
Phone (734) 727-0440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520002583 MI Practitioner - Physical Therapist in Private Practice 1759850647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Peter Evangelista MD PCGroup PAC ID 0446538581, 3 clinicians

Practice addresses (Care Compare)

31190 Novi Rd
Novi, MI 48377-4545
Phone (248) 624-5176

7071 Orchard Lake Rd
Suite 333
West Bloomfield, MI 48322-3613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017766MIMDPhysical Medicine & Rehabilitation Physician

Organizations & group practices 1

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1902467285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841485",
            "telephone_number": "734-727-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841485",
            "telephone_number": "734-727-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAS",
        "first_name": "MARIELA LOUISE",
        "middle_name": "AGUAS",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501017766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.