Active NPI
Usha L Doshi, MD
- Pediatrics Physician
- Detroit, MI
National Provider Identifier
1093725186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301040412
- Practice address
- 3956 Mount Elliott St
Detroit, MI 48207-1841 - Phone
- (313) 925-4540
- Fax
- (313) 925-0322
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301040412 | MI | Primary |
Addresses
Primary practice location
3956 Mount Elliott St
Detroit, MI 48207-1841
Mailing address
PO Box 3160
Detroit, MI 48203-0160
Phone (313) 925-4540
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104412119 | Medicaid | MI | |
| 104412137 | Medicaid | MI | |
| 104412128 | Medicaid | MI | |
| 700H248710 | Other | MI | BLUE CROSS GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301040412 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Past | Accepting new patients | |
| Professional Medical Center PC | Pediatrics | Past | Accepting new patients |
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.
-
dba Henry Ford Warren Hospital
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Pediatrics Physician
- Detroit, MI
- NPI 1619985058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093725186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3160",
"city": "DETROIT",
"state": "MI",
"postal_code": "482030160",
"telephone_number": "313-925-4540",
"fax_number": "313-925-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3956 MOUNT ELLIOTT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482071841",
"telephone_number": "313-925-4540",
"fax_number": "313-925-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSHI",
"first_name": "USHA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301040412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104412119",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104412137",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104412128",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "700H248710",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.