Payaum Fotovat-ahmadi, MD - Medicare Physical Medicine And Rehabilitation in Lathrup Village, MI

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Payaum Fotovat-ahmadi, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lathrup Village, Michigan. He went to Oakland Univ, William Beaumont School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Michigan Rehabilitation Physicians, Applebaum Physiatry Pllc and his current practice location is 27270 Evergreen Rd, Lathrup Village, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 812-0429.

Payaum Fotovat-ahmadi is licensed to practice in Michigan (license number 4301512877) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225715683.

Contact Information

Payaum Fotovat-ahmadi, MD
27270 Evergreen Rd,
Lathrup Village, MI 48076-3249
(734) 812-0429
Not Available

Map and Direction




Physician's Profile

Full NamePayaum Fotovat-ahmadi
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience3 Years
Location27270 Evergreen Rd, Lathrup Village, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Payaum Fotovat-ahmadi attended and graduated from Oakland Univ, William Beaumont School Of Medicine in 2023
  NPI Data:
  • NPI Number: 1225715683
  • Provider Enumeration Date: 06/28/2023
  • Last Update Date: 11/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507308228
  • Enrollment ID: I20241113001184

Medical Identifiers

Medical identifiers for Payaum Fotovat-ahmadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225715683NPI-NPPES
F313676025878OtherMILICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 4301512877 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michigan Rehabilitation Physicians43858243829
Applebaum Physiatry Pllc872945343681

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Payaum Fotovat-ahmadi allows following entities to bill medicare on his behalf.
Entity NameMichigan Rehabilitation Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215240502
PECOS PAC ID: 4385824382
Enrollment ID: O20110208000924
Entity NameProviders Tek Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699283283
PECOS PAC ID: 2264792084
Enrollment ID: O20180215001741
Entity NameRiverview Neuromuscular Pain Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447827894
PECOS PAC ID: 9830595701
Enrollment ID: O20210901002978
Entity NameApplebaum Physiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700598059
PECOS PAC ID: 8729453436
Enrollment ID: O20230413000778

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Payaum Fotovat-ahmadi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Payaum Fotovat-ahmadi, MD
27270 Evergreen Rd,
Lathrup Village, MI 48076-3249

Ph: () -		Payaum Fotovat-ahmadi, MD
27270 Evergreen Rd,
Lathrup Village, MI 48076-3249

Ph: (734) 812-0429

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Lathrup Village, MI

James Thomas Gilas, M. D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 26635 Southfield Rd, Lathrup Village, MI 48076
Phone: 248-563-5502    
Dr. Abiola Dianne Adisa-obayan, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 26333 Southfield Rd Ste 103, Lathrup Village, MI 48076
Phone: 248-331-1900    
Kertia Libretto Black, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 27725 Rainbow Cir, Lathrup Village, MI 48076
Phone: 248-910-7018    Fax: 248-557-5409

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.