NPIMap

Individual provider Active NPI

Rita Khaneja-Sharrow, D.O.

  • Family Medicine Physician
  • Wixom, MI
National Provider Identifier
1982691846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5315012473 Issued in MI
Practice address
29600 S Wixom Rd
Wixom, MI 48393-3430
Phone
(248) 668-1900
Fax
(248) 668-1905
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015028 MI
Family Medicine Physician 207Q00000X 5315012473 MI Primary

Addresses

Primary practice location

29600 S Wixom Rd
Wixom, MI 48393-3430

Mailing address

29600 S Wixom Rd
Wixom, MI 48393-3430
Phone (248) 668-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000655 MI Practitioner - Family Practice 4385609155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Family Health Care PCGroup PAC ID 9638077621, 20 clinicians

Practice addresses (Care Compare)

29600 S Wixom Rd
Wixom, MI 48393-3459
Phone (248) 668-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315012473MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Family Health Care, P.C. Family Medicine CurrentSince Apr 15, 2019 Accepting new patients
Elliott I. Greenspan, D.O., P.C. & Associates CurrentSince Oct 1, 2004 Accepting new patients

Locations

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

28212 Franklin Rd
Southfield, MI 48034

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

L4198
Columbus, OH 43260

Interoperability endpoints

  • Direct secure messaging: rkhanejasharrow1134619@direct.hfhs.org

Organizations & group practices 2

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 10

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982691846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29600 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933430",
            "telephone_number": "248-668-1900",
            "fax_number": "248-668-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29600 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933430",
            "telephone_number": "248-668-1900",
            "fax_number": "248-668-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANEJA-SHARROW",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015028",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5315012473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

Verify at the official NPI Registry.