Individual provider Active NPI

Akhtar Husain, MD

  • Surgery Physician
  • Riverview, MI
National Provider Identifier
1093704868
Registry record updated Aug 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301088891 Issued in MI
Practice address
14720 King Rd
Suite B
Riverview, MI 48193-7945
Phone
(734) 675-1150
Fax
(734) 675-1173
NPI assigned
Oct 14, 2005
Last updated
Aug 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301088891 MI Primary

Addresses

Primary practice location

14720 King Rd
Suite B
Riverview, MI 48193-7945

Mailing address

14720 King Rd
Suite B
Riverview, MI 48193-7945
Phone (734) 675-1150

Other identifiers 1

IdentifierTypeStateIssuer
1093704868MedicaidMI

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
I20070308000580 MI Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Surgical Oncology 6406753177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology, Vascular Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14720 King Rd
Suite B
Riverview, MI 48193-7946
Phone (734) 675-1150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akhtar Husain, MD PC Surgery CurrentSince Nov 1, 2009 Accepting new patients
Daemen Medical Group Past Accepting new patients

Locations

14720 King Rd
Ste B
Riverview, MI 48193
Phone (734) 675-1150

Interoperability endpoints

  • Direct secure messaging: ahusain56899@direct.hfhs.org

Organizations & group practices 2

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 3

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345334400000",
    "number": "1093704868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 KING RD",
            "address_2": "SUITE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937945",
            "telephone_number": "734-675-1150",
            "fax_number": "734-675-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14720 KING RD",
            "address_2": "SUITE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937945",
            "telephone_number": "734-675-1150",
            "fax_number": "734-675-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "AKHTAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301088891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093704868",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.