DR. JASON J RIZQALLAH (MD) – Surgery Physician, NPI 1043565443

DR. JASON J RIZQALLAH (MD) is a healthcare provider. based in Detroit, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301101552 (MI). The NPI Number for DR. JASON J RIZQALLAH (MD) is 1043565443

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON J RIZQALLAH (MD)
NPI
1043565443
Phone
(313) 745-6035
Address
3663 Woodward Ave Ste 200
Enumeration Date
21 July 2012
Last Update Date
6 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484654100
Graduation Year
2012 (14 years ago)
PAC ID
9335447101
Group Practice PAC ID
6002956265
Professional Enrollment ID
I20180621000227
Address ID
MI483741233NO47601AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for DR. JASON J RIZQALLAH (MD)

  • 3663 Woodward Ave Ste 200

    Detroit, MI 482012400

    Phone: (313) 745-6035

    Type: Location

  • 47601 GRAND RIVER AVE # B136

    NOVI, MI 483741233

    Phone: (248) 465-3940

    Fax: (248) 465-3941

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180621000227IGeneral SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2821$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002956265View full group profile
NameSpecialtyState
General SurgeryMI
Vascular SurgeryMI
General SurgeryMI
-MI
General SurgeryMI
General SurgeryMI
General SurgeryMI
Colorectal Surgery (Proctology)MI
General SurgeryMI
General SurgeryMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JASON J RIZQALLAH (MD)?
DR. JASON J RIZQALLAH (MD) — NPI 1043565443 — is the standard way to identify this listing.
Can I rely on DR. JASON J RIZQALLAH (MD) being an active provider?
As of the registry snapshot, DR. JASON J RIZQALLAH (MD) is marked active.
What is DR. JASON J RIZQALLAH (MD) best known for clinically?
Directory data describes DR. JASON J RIZQALLAH (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. JASON J RIZQALLAH (MD) list a practice location?
Patients near Detroit, Michigan may find DR. JASON J RIZQALLAH (MD) in results; validate coverage separately.
Why does DR. JASON J RIZQALLAH (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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