Organization Active NPI

Amit K Garg M.D., P.C.

  • Cardiovascular Disease Physician
  • Clinton Township, MI
National Provider Identifier
1063449502
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301039127 Issued in MI
Legal business name
AMIT K GARG M.D., P.C.
Practice address
43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593
Phone
(586) 224-2400
Fax
(586) 228-2517
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Amit Kumar Garg, M.D.NPI 1932181559
Title
Owner/President
Phone
(586) 228-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 4301039127 MI Primary

Addresses

Primary practice location

43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593

Mailing address

43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593
Phone (586) 224-2400

Other names 1

  • Macomb Cardiology Associates P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060724000197 MI Part B Supplier - Clinic/Group Practice 9739192477 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

43475 Dalcoma Dr
Ste 200
Clinton Twp, MI 48038
Phone (586) 228-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1063449502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-224-2400",
            "fax_number": "586-228-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-224-2400",
            "fax_number": "586-228-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT K GARG M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "586-228-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301039127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macomb Cardiology Associates P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.