Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRANDRAPIDS REGENERATIVE CENTER PLLC
NPI 1013820059
Pain Medicine - Pain Medicine in Southfield, MI

Active since September 22, 2026
17220 W 12 MILE RD STE 129, SOUTHFIELD, MI 48076(617) 819-5841 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Grandrapids Regenerative Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANDRAPIDS REGENERATIVE CENTER PLLC (NPI 1013820059) is a healthcare organization registered as a pain medicine in Southfield, Michigan and active in the NPI registry since September 2026. The organization lists Ryan Hijazi, Owner, as its authorized official.

NPPES Registry Identity

NPI1013820059
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameGRANDRAPIDS REGENERATIVE CENTER PLLC
Location Address17220 W 12 MILE RD STE 129Southfield, MI 48076-2114
Mailing Address17220 W 12 Mile Rd Ste 129Southfield, MI 48076-2114
Organization SubpartNo
Authorized OfficialRyan HijaziOwner · (617) 819-5841
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1013820059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
17220 W 12 MILE RD STE 129, Southfield, MI 48076

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grandrapids Regenerative Center PLLC's NPI number?

The NPI number for Grandrapids Regenerative Center PLLC is 1013820059. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Grandrapids Regenerative Center PLLC located?

Grandrapids Regenerative Center PLLC is located at 17220 W 12 Mile Rd Ste 129, Southfield, MI 48076. The listed phone number is (617) 819-5841.

What is Grandrapids Regenerative Center PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

When was this NPI record last updated?

The NPPES record for Grandrapids Regenerative Center PLLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.