NPIMap

Individual provider Active NPI

Manzoor Haroon, MD

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1073531034
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MH036971 Issued in MI
Practice address
24887 Goddard Rd
Taylor, MI 48180-3930
Phone
(734) 946-7200
Fax
(734) 946-5551
NPI assigned
Jul 18, 2006
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MH036971 MI Primary

Addresses

Primary practice location

24887 Goddard Rd
Taylor, MI 48180-3930

Mailing address

24335 Fairmount Dr
Dearborn, MI 48124-1539
Phone (313) 274-8833

Other identifiers 1

IdentifierTypeStateIssuer
209730210MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000826 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0840391801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M a Haroon, MD, PCGroup PAC ID 7911008974, 2 clinicians

Practice addresses (Care Compare)

24887 Goddard Rd
Taylor, MI 48180-3930
Phone (734) 946-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH036971MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M a Haroon, MD, PC Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients
Park Nursing Center of Taylor, LLC Past Accepting new patients
Detroit Nursing Center, LLC Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

24887 Goddard Rd
Taylor, MI 48180
Phone (734) 946-7200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lily HospiceTroy, MI, CCN 231684 Hospice Contracted Managing Employee Sep 21, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1073531034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24335 FAIRMOUNT DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241539",
            "telephone_number": "313-274-8833",
            "fax_number": "313-946-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24887 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803930",
            "telephone_number": "734-946-7200",
            "fax_number": "734-946-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROON",
        "first_name": "MANZOOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MH036971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209730210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.