Individual provider Active NPI

Murtuza Zair, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1114156114
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301106400 Issued in MI
Practice address
18254 Livernois Ave
Detroit, MI 48221-4214
Phone
(313) 861-4400
NPI assigned
Jul 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301106400 MI Primary

Addresses

Primary practice location

18254 Livernois Ave
Detroit, MI 48221-4214

Mailing address

57 Rose Branch Drive
Richmond Hill, ONTARIO L4S1J3
CA
Phone (905) 737-8303

Other identifiers 1

IdentifierTypeStateIssuer
56616OtherOHMD 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

LicenseStateTypeSpecialty
4301106400MIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114156114",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "57 ROSE BRANCH DRIVE",
            "city": "RICHMOND HILL",
            "state": "ONTARIO",
            "postal_code": "L4S1J3",
            "telephone_number": "905-737-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214214",
            "telephone_number": "313-861-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIR",
        "first_name": "MURTUZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301106400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD NUMBER",
            "identifier": "56616",
            "state": "OH"
        }
    ],
    "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.