Individual provider Active NPI

Kishwar Ara Tahir, MD

  • Child & Adolescent Psychiatry Physician
  • Troy, MI
National Provider Identifier
1043350622
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4301048143 Issued in MI
Practice address
1639 E Big Beaver Rd
Suite 201
Troy, MI 48083-2053
Phone
(248) 528-9000
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301048143 MI
Child & Adolescent Psychiatry Physician 2084P0804X 4301048143 MI Primary

Addresses

Primary practice location

1639 E Big Beaver Rd
Suite 201
Troy, MI 48083-2053

Mailing address

1639 E Big Beaver Rd
Ste 201
Troy, MI 48083-2053
Phone (248) 528-9000

Other names 1

  • Kishwar Ara Ahmad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000081 MI Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9133380132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birgit Amann M D P L L CGroup PAC ID 0749352714, 12 clinicians

Practice addresses (Care Compare)

1639 E Big Beaver Rd
Suite 201
Troy, MI 48083-2054
Phone (248) 528-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301048143MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birgit Amann M D P L L C CurrentSince Nov 1, 2013 Accepting new patients

Locations

1639 E Big Beaver Rd
Ste 201
Troy, MI 48083
Phone (248) 528-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1043350622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD",
            "address_2": "STE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "248-528-9000",
            "fax_number": "248-528-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD",
            "address_2": "SUITE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "248-528-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "KISHWAR",
        "middle_name": "ARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301048143",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301048143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHWAR",
            "last_name": "AHMAD",
            "middle_name": "ARA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.