Midwest Comprehensive Cardiovascular Care PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301062045 Issued in MI

Legal business name

MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC

Practice address

27209 Lahser Rd
Suite 226
Southfield, MI 48034-8401

Phone

(248) 595-8802

Fax

(248) 945-1222

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Mukarram Siddiqui, M.D.NPI 1972583177

Title

Owner

Phone

(248) 595-8802

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukarram Mohammed Siddiqui, MD

  • Cardiovascular Disease Physician
  • Southfield, MI
  • NPI 1972583177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1114304755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD",
            "address_2": "SUITE 226",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348401",
            "telephone_number": "248-595-8802",
            "fax_number": "248-945-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD",
            "address_2": "SUITE 226",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348401",
            "telephone_number": "248-595-8802",
            "fax_number": "248-945-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MUKARRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-595-8802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301062045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301062045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Vascular Access, PC
• Michigan Visiting Physician Services, Inc
• Michigan Wound Care and Hyperbaric Institute PC
• Michigan Wound Care and Hyperbaric Institute PC
• Michiganders for Quality Education
• Midwest Connection LLC
• Midwest Home Health Care, Inc.
• Midwest Infusion Inc
• Midwest Medical Point of Care PC
• Kimberly A Mier, LLPC

• Cardiovascular Disease Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.