NPIMap

Organization Active NPI

M.a.Munir MD PC

  • Cardiovascular Disease Physician
  • Hamtramck, MI
National Provider Identifier
1073544912
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301068351 Issued in MI
Legal business name
M.A.MUNIR MD PC
Practice address
11400 Joseph Campau St
Hamtramck, MI 48212-3041
Phone
(313) 366-5500
Fax
(313) 366-5505
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Muhammad Asim Munir, MDNPI 1124079553
Title
Owner
Phone
(313) 366-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 4301068351 MI Primary

Addresses

Primary practice location

11400 Joseph Campau St
Hamtramck, MI 48212-3041

Mailing address

11400 Joseph Campau St
Hamtramck, MI 48212-3041
Phone (313) 366-5500

Other identifiers 9

IdentifierTypeStateIssuer
110H232350OtherMIBC GROUP
110H232350OtherMIBCN
030195OtherMIMIDWEST HEALTH PLAN
4891580MedicaidMI
4974262MedicaidMI
DG7462OtherMIRAILROAD MEDICARE GROUP
1073544912MedicaidMI
1108261692OtherMIBCBS BCN
5211840MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060824000363 MI Part B Supplier - Clinic/Group Practice 7517960958 Receives reassigned benefits from 9 practitioners
Practice locations: Hamtramck, MI; Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

31000 Telegraph Rd
Ste 230
Bingham Farms, MI 48025

4607 W Vernor Hwy
Detroit, MI 48209
Phone (313) 554-3300

11400 Joseph Campau St
Hamtramck, MI 48212
Phone (248) 557-4129

3120 Carpenter St
Ste 209
Hamtramck, MI 48212
Phone (313) 891-0094

4045 W 13 Mile Rd
Ste C
Royal Oak, MI 48073
Phone (248) 288-6800

4045 W 13 Mile Rd
Ste B4
Royal Oak, MI 48073
Phone (248) 288-6800

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1073544912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123041",
            "telephone_number": "313-366-5500",
            "fax_number": "313-366-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123041",
            "telephone_number": "313-366-5500",
            "fax_number": "313-366-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.MUNIR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "MUNIR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-366-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301068351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "110H232350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "110H232350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "030195",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4891580",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4974262",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG7462",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073544912",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "1108261692",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5211840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.