NPIMap

Individual provider Active NPI

Asghar Mohiuddin, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1063404770
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301066880 Issued in MI
Practice address
18900 W 10 Mile Rd
Southfield, MI 48075-2669
Phone
(248) 424-8340
Fax
(248) 424-7209
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301066880 MI Primary

Addresses

Primary practice location

18900 W 10 Mile Rd
Southfield, MI 48075-2669

Mailing address

PO Box 77000 Dept 77220
Detroit, MI 48277-2000
Phone (734) 462-0340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917001083 MI Practitioner - Internal Medicine 4587632534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1686 Stonebridge Way
Canton, MI 48188-3273
Phone (734) 495-3576

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asghar Mohiuddin MD PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Michigan Emergency Services CurrentSince Jun 1, 2018 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine Past Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine PastSince Jul 1, 2010 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

6071 W Outer Dr
#7E
Detroit, MI 48235
Phone (313) 966-4797

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

Interoperability endpoints

  • Direct secure messaging: amohiuddin1141887@direct.hfhs.org
  • Direct secure messaging: amohiudd@direct.dmc.org

Organizations & group practices 5

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 8

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1063404770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77000 DEPT 77220",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772000",
            "telephone_number": "734-462-0340",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752669",
            "telephone_number": "248-424-8340",
            "fax_number": "248-424-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "ASGHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301066880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.