Individual provider Active NPI

Mirza M Baig, DPM

  • Podiatrist
  • Highland Park, MI
National Provider Identifier
1073521209
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001432 Issued in MI
Practice address
13111 Woodward Ave
Highland Park, MI 48203-3781
Phone
(313) 865-2800
Fax
(313) 581-7560
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001432 MI Primary

Addresses

Primary practice location

13111 Woodward Ave
Highland Park, MI 48203-3781

Mailing address

13244 W Warren Ave
Dearborn, MI 48126-1415
Phone (313) 581-4450

Other identifiers 1

IdentifierTypeStateIssuer
1932198MedicaidMI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000096 MI Practitioner - Podiatry 9133202344 Practice locations: Dearborn, MI; Highland Park, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13111 Woodward Ave
Highland Park, MI 48203-3781
Phone (313) 865-2800

13244 W Warren Ave
Dearborn, MI 48126-1415
Phone (313) 581-4450

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of nail tissue234
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001432MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ali a Fadel MD, PC Podiatrist Past Accepting new patients
Mohamed Ayad, M.D., P.C. PastSince Oct 21, 2013 Accepting new patients
Ali a Fadel MD PC Past Accepting new patients

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1073521209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13244 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261415",
            "telephone_number": "313-581-4450",
            "fax_number": "313-581-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033781",
            "telephone_number": "313-865-2800",
            "fax_number": "313-581-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MIRZA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932198",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

Verify at the official NPI Registry.