Individual provider Active NPI

Nusrat Javaid, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Detroit, MI
National Provider Identifier
1063501591
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
4301056997 Issued in MI
Practice address
Children'S Hospital of Mi
3901 Beaubien - Ground FL
Detroit, MI 48201-2119
Phone
(313) 745-5260
Fax
(313) 966-0665
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301056997 MI
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 4301056997 MI
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 4301056997 MI Primary

Addresses

Primary practice location

Children'S Hospital of Mi
3901 Beaubien - Ground FL
Detroit, MI 48201-2119

Mailing address

University Pediatricians
4201 St. Antoine - Uhc 5D Mailbox 226
Detroit, MI 48201-2153
Phone (313) 745-4405

Other practice location 1

9171 Lapeer Rd
Ste 100
Davison, MI 48423-3617
Phone (810) 441-2559

Other identifiers 2

IdentifierTypeStateIssuer
0B51090OtherMIBLUE SHIELD
4434887MedicaidMI

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
I20040508000296 MI Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Family Practice 1355330093 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Milford PLLCGroup PAC ID 5991079402, 2 clinicians
Hope Medicoes PLLCGroup PAC ID 3870641053, 2 clinicians
Hope Urgent Care Birch Run PLLCGroup PAC ID 8820321730, 2 clinicians

Practice addresses (Care Compare)

600 Highland Ave
Milford, MI 48381-1518
Phone (248) 714-9925

9143 Birch Run Rd
Suite 3
Birch Run, MI 48415-9747
Phone (810) 412-5590

9171 Lapeer Rd
Davison, MI 48423-3617
Phone (810) 412-5590

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056997MIMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Milford PLLC CurrentSince Sep 21, 2017 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
Hope Medicoes PLLC Pediatrics CurrentSince Apr 1, 2009 Accepting new patients
University Pediatricians Pediatrics CurrentSince Feb 1, 2018 Accepting new patients
University Pediatricians Pediatrics CurrentSince Feb 1, 2018 Accepting new patients
Clio Urgent Care PLLC CurrentSince Mar 1, 2015 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
Hope Urgent Care Romulus PLLC Past Accepting new patients
Hope Urgent Care Midland PLLC Past Accepting new patients
Hope Medicoes PLLC Past Accepting new patients

Locations

9197 Birch Run Rd
Ste 3
Birch Run, MI 48415
Phone (989) 244-6411

9143 Birch Run Rd
Ste 3
Birch Run, MI 48415
Phone (810) 412-5590

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

9171 Lapeer Rd
Ste 100
Davison, MI 48423
Phone (810) 412-5590

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

728 W Wackerly St
Ste 101
Midland, MI 48640
Phone (989) 631-9900

204 W Buttles St
Midland, MI 48640

600 Highland Ave
Milford, MI 48381
Phone (248) 505-9145

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10019129
  • Direct secure messaging: njavaid4389@direct.hurleymc.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063501591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY PEDIATRICIANS",
            "address_2": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HOSPITAL OF MI",
            "address_2": "3901 BEAUBIEN - GROUND FL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-5260",
            "fax_number": "313-966-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 Lapeer Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "484233617",
            "country_code": "US",
            "telephone_number": "810-441-2559",
            "fax_number": "810-412-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVAID",
        "first_name": "NUSRAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301056997",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MI",
            "license": "4301056997",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MI",
            "license": "4301056997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0B51090",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434887",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.