Individual provider Active NPI

Ryan Hijazi, D.O

  • Interventional Pain Medicine Physician
  • Warren, MI
National Provider Identifier
1962864108
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
5101026022 Issued in MI
Practice address
30713 Schoenherr Rd Ste a
Warren, MI 48088-3122
Phone
(586) 284-2643
Fax
(586) 265-2170
NPI assigned
Mar 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 5101026022 MI Primary

Addresses

Primary practice location

30713 Schoenherr Rd Ste a
Warren, MI 48088-3122

Mailing address

30713 Schoenherr Rd Ste a
Warren, MI 48088-3122
Phone (586) 284-2643

Other practice location 1

17000 Executive Plaza Dr Ste 102
Dearborn, MI 48126-2793
Phone (586) 284-2643

Other practice location 2

5140 Coolidge Hwy Ste 201
Royal Oak, MI 48073-1030
Phone (586) 284-2643

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
I20210802003253 MI Practitioner - AnesthesiologyPractitioner - Pain Management 6608168448 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grayling Anesthesia Associates, PCGroup PAC ID 1052543758, 10 clinicians
Complete Care Rehab LLCGroup PAC ID 2466423637, 12 clinicians
Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Practice addresses (Care Compare)

1100 E Michigan Ave
Mercy Hospital Grayling
Grayling, MI 49738-1312
Phone (914) 637-2063

30713 Schoenherr Rd
Suite a
Warren, MI 48088-3122
Phone 58628426431

31370 Harper Ave
Saint Clair Shores, MI 48082-2450

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200

9001 15 Mile Rd
Suite C
Sterling Heights, MI 48312-3621
Phone (586) 284-2643

Hospital & facility affiliations

  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Michigan III PLLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Southfield Regenerative Medical Center PLLC Single Specialty Current Accepting new patients
Resource Anesthesiology Associates of Mi PC Single Specialty CurrentSince Jun 3, 2023 Accepting new patients
Grayling Anesthesia Associates PC Single Specialty CurrentSince Mar 14, 2025 Accepting new patients
Minimally Invasive Pain Specialists PLLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Pain Consultants of Michigan, PLC Single Specialty CurrentSince Aug 9, 2021 Accepting new patients
Mymichigan Medical Center Saginaw Single Specialty PastSince Aug 1, 2021 Accepting new patients

Locations

17000 Executive Plaza Dr
Ste 102
Dearborn, MI 48126
Phone (313) 334-4123

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

1119 S Washington Ave
Saginaw, MI 48601
Phone (989) 752-1900

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

9001 15 Mile Rd
Ste C
Sterling Hts, MI 48312
Phone (586) 284-2643

30713 Schoenherr Rd
Ste A
Warren, MI 48088
Phone 5862842643 ext. 1

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: rhijazi379885@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1962864108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30713 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883122",
            "telephone_number": "586-284-2643",
            "fax_number": "586-265-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30713 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883122",
            "telephone_number": "586-284-2643",
            "fax_number": "586-265-2170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17000 Executive Plaza Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262793",
            "country_code": "US",
            "telephone_number": "586-284-2643",
            "fax_number": "586-265-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5140 Coolidge Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480731030",
            "country_code": "US",
            "telephone_number": "586-284-2643",
            "fax_number": "586-265-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIJAZI",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101026022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.