Active NPI
Rima Tinawi-Aljundi, MD
- Anatomic Pathology Physician
- St Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 4301070286
- Practice address
- 20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200 - Phone
- (586) 771-4820
- Fax
- (586) 771-6620
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 4301070286 | MI | Primary |
Addresses
Primary practice location
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Mailing address
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Phone (586) 771-4820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 81.01
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070286 | MI | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Institute of Urology PC | Current | Accepting new patients | |
| Alliance Physician Services of Michigan, P.C. | Anatomic Pathology | Current | Accepting new patients |
| Colorado Springs Urological Associates LLC | Current | Accepting new patients | |
| Colorado Springs Urological Associates LLC | Current | Accepting new patients |
Locations
1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994
6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007
20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645
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.
-
- Urology Physician
- St Clair Shores, MI
- NPI 1427027416
Anatomic Pathology
-
- Urology Physician
- Colorado Springs, CO
- NPI 1649704826
-
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1922999051
-
- Urology Physician
- Colorado Springs, CO
- NPI 1356305114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1982669354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820",
"fax_number": "586-771-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820",
"fax_number": "586-771-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINAWI-ALJUNDI",
"first_name": "RIMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MI",
"license": "4301070286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.