Active NPI
Nusrat Javaid, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 4301056997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B51090 | Other | MI | BLUE SHIELD |
| 4434887 | Medicaid | MI |
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
Enrollment records 1
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
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 100
- Quality
- 66.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301056997 | MI | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Milford PLLC | Current | Accepting new patients | |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hope Medicoes PLLC | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Clio Urgent Care PLLC | Current | Accepting new patients | |
| Hurley Medical Center | Current | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10019129
- 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.
-
- Urgent Care Clinic/Center
- Birch Run, MI
- NPI 1730676487
-
- Urgent Care Clinic/Center
- Clio, MI
- NPI 1114340171
-
- Urgent Care Clinic/Center
- Milford, MI
- NPI 1730619743
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Urgent Care Clinic/Center
- Davison, MI
- NPI 1164669453
-
- Urgent Care Clinic/Center
- Midland, MI
- NPI 1609142371
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1831140367
-
- Anatomic Pathology & Clinical Pathology Physician
- Flint, MI
- NPI 1922116094
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.