Active NPI
Raouf Aziz Mikhail, MD
- Surgery Physician
- Flint, MI
National Provider Identifier
1992785638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RM039160
- Practice address
- G1075 N Ballenger Hwy
Flint, MI 48504-4431 - Phone
- (810) 238-1118
- Fax
- (810) 238-9849
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RM039160 | MI | Primary |
| Specialist | 174400000X | RM039160 | MI |
Addresses
Primary practice location
G1075 N Ballenger Hwy
Flint, MI 48504-4431
Mailing address
G1075 N Ballenger Hwy
Flint, MI 48504-4431
Phone (810) 238-1118
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1480474 | Medicaid | MI | |
| 2512631 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 0202111 | Other | HEALTH PLUS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080229000578 | MI | Practitioner - Surgical Oncology | 1153405089 | Practice locations: Flint, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RM039160 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1992785638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G1075 N BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485044431",
"telephone_number": "810-238-1118",
"fax_number": "810-238-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G1075 N BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485044431",
"telephone_number": "810-238-1118",
"fax_number": "810-238-9849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "RAOUF",
"middle_name": "AZIZ",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "RM039160",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "RM039160",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1480474",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "2512631",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0202111",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.