Individual provider Active NPI

Raouf Aziz Mikhail, MD

  • Surgery Physician
  • Flint, MI
National Provider Identifier
1992785638
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RM039160 Issued in MI
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

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1480474MedicaidMI
2512631OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
0202111OtherHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
RM039160MIMDSurgery 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

Verify at the official NPI Registry.