Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Omari Adisa Ruffin, MD

Individual provider Emergency Medicine Physician · NPI 1235320052

Omari Adisa Ruffin, MD is an Emergency Medicine in Detroit, Michigan. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Louisiana, Michigan and Tennessee.

Years since qualifying
19
Licensed in
LA, MI, TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301089795 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 46288 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 309884 (LA)

Record details

NPI number1235320052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESSeptember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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