Individual provider Active NPI

Edward A Tashjian, MD

  • Specialist
  • Auburn Hills, MI
National Provider Identifier
1104918994
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
046315 Issued in MI
Practice address
3100 Cross Creek Pkwy
Suite 140
Auburn Hills, MI 48326-2774
Phone
(248) 332-0296
Fax
(248) 332-3466
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 046315 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Suite 140
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy
Suite 140
Auburn Hills, MI 48326-2774
Phone (248) 332-0296

Other identifiers 2

IdentifierTypeStateIssuer
2506321551OtherBCBSM
1347283MedicaidMI

Other names 1

  • Dr. Edward A Tashjian Professional name

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
I20120925000188 MI Practitioner - Physical Medicine and Rehabilitation 7113175704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1349 S Rochester Rd
Suite 225
Rochester Hills, MI 48307-3183
Phone (248) 656-2844

1370 N Oakland Blvd
Suite 102
Waterford, MI 48327-1572
Phone (248) 666-1443

3100 Cross Creek Pkwy
Auburn Hills, MI 48326-2775
Phone (248) 332-0296

Merit-based Incentive Payment System (MIPS)

Final score
59.78 of 100Reported as group
Quality
38.33
Promoting interoperability
79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046315MIMDSpecialist

Interoperability endpoints

  • Direct secure messaging: etashjian1155216@direct.hfhs.org

Organizations & group practices 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1104918994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 140",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-332-0296",
            "fax_number": "248-332-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 140",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-332-0296",
            "fax_number": "248-332-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASHJIAN",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "046315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2506321551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "TASHJIAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.