Individual provider Active NPI

Mohammed Ziaal Haque, M.D.

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1063484053
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061429 Issued in MI
Practice address
14071 E 7 Mile Rd
Detroit, MI 48205-2335
Phone
(313) 371-2828
Fax
(313) 371-9120
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301061429 MI
Internal Medicine Physician 207R00000X 4301061429 MI Primary

Addresses

Primary practice location

14071 E 7 Mile Rd
Detroit, MI 48205-2335

Mailing address

14071 E 7 Mile Rd
Detroit, MI 48205-2335
Phone (313) 371-2828

Other identifiers 1

IdentifierTypeStateIssuer
4600342-10MedicaidMI

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
I20040622000792 MI Practitioner - Internal Medicine 4486639697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Urgent Care PCGroup PAC ID 5496799751, 7 clinicians

Practice addresses (Care Compare)

31700 Van Dyke Ave
Warren, MI 48093-7949
Phone (586) 276-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301061429MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Urgent Care LLC Family Medicine CurrentSince Feb 8, 2014 Accepting new patients
Detroit Medical Group, PLLC Internal Medicine CurrentSince Feb 1, 2004 Accepting new patients
Warren Urgent Care PC Family Medicine CurrentSince Feb 8, 2014 Accepting new patients
Umc Urgent Medical Center P.C. Family Medicine CurrentSince May 1, 2021 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

15615 W McNichols Rd
Detroit, MI 48235
Phone (313) 450-8634

6455 Gratiot Ave
Detroit, MI 48207
Phone (313) 921-8600

14071 E 7 Mile Rd
Detroit, MI 48205
Phone (313) 371-2828

22341 W 8 Mile Rd
Detroit, MI 48219
Phone (313) 326-4989

31700 Van Dyke Ave
Warren, MI 48093
Phone (586) 276-8130

L4372
Columbus, OH 43260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAABA/Endpoint/FGAABA

Organizations & group practices 6

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1063484053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052335",
            "telephone_number": "313-371-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052335",
            "telephone_number": "313-371-2828",
            "fax_number": "313-371-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "MOHAMMED",
        "middle_name": "ZIAAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301061429",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4600342-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.