Individual provider Active NPI

Bushra Haider, MD

  • Family Medicine Physician
  • Lincoln Park, MI
National Provider Identifier
1053470526
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301508003 Issued in MI
Practice address
25650 Outer Dr
Lincoln Park, MI 48146-2096
Phone
(313) 383-1897
Fax
(313) 383-6092
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301508003 MI Primary

Addresses

Primary practice location

25650 Outer Dr
Lincoln Park, MI 48146-2096

Mailing address

25650 Outer Dr
Lincoln Park, MI 48146-2096
Phone (313) 383-1897

Other identifiers 4

IdentifierTypeStateIssuer
000000169074OtherUNISON HEALTH PLAN
001653345OtherPAHIGHMARK BLUE SHIELD
1544126OtherGATEWAY HEALTH PLAN
1013394100001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524001610 MI Practitioner - Family Practice 6608832332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25650 Outer Dr
Lincoln Park, MI 48146-2096
Phone (313) 383-1897

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301508003MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 11, 2026 Accepting new patients
Western Wayne Family Health Centers CurrentSince Jan 12, 2025 Accepting new patients
Iha Health Services Corporation CurrentSince Oct 9, 2023 Accepting new patients
C-Assist Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Iha Health Service Corporation CurrentSince Oct 9, 2023 Accepting new patients
Self Empowerment Center, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Western Wayne Family Health Centers CurrentSince Jan 12, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Upmc and the Washington Hospital Urgent Care Centers,Inc Past Accepting new patients
Renal and Hypertension Consultants LLC Past Accepting new patients

Locations

2001 Midwest Rd
Ste 110
Oak Brook, IL 60523
Phone (630) 360-2646

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

30260 Cherry Hill Rd
Garden City, MI 48135
Phone (313) 670-9943

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

25650 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-1515

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: bhaider2924411@direct.trinity-health.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1053470526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-383-1897",
            "fax_number": "313-383-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-383-1897",
            "fax_number": "313-383-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "BUSHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301508003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000169074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001653345",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1544126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013394100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.