Active NPI
Edward A Tashjian, MD
- Specialist
- Auburn Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 046315
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2506321551 | Other | BCBSM | |
| 1347283 | Medicaid | MI |
Other names 1
- Dr. Edward A Tashjian
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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046315 | MI | MD | Specialist |
Interoperability endpoints
- 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.
-
- Specialist
- Auburn Hills, MI
- NPI 1164787768
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.