Organization Active NPI

Maan Ekkah MD PC

  • General Practice Physician
  • White Lake, MI
National Provider Identifier
1114484540
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MAAN EKKAH MD PC
Practice address
8355 Highland Rd
White Lake, MI 48386-4618
Phone
(248) 666-6005
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Maan Ekkah, MDNPI 1962632042
Title
Owner
Phone
(248) 925-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8355 Highland Rd
White Lake, MI 48386-4618

Mailing address

8355 Highland Rd
White Lake, MI 48386-4618
Phone (248) 666-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311001364 MI Part B Supplier - Clinic/Group Practice 3870832785 Receives reassigned benefits from 24 practitioners
Practice locations: Troy, MI; White Lake, MI; Waterford, MI; Pontiac, MI; Milford, MI; Commerce Township, MI; Bloomfield Hills, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1000464Maan Ekkah MD PC8355 Highland Road, White Lake, MI 48386Certificate of waiverDec 31, 2026

National Provider Directory

National Provider Directory

Locations

42557 Woodward Ave
Ste 140
Bloomfield, MI 48304

1265 N Milford Rd
Ste 200
Milford, MI 48381
Phone (248) 833-8500

6477 Highland Rd
Waterford, MI 48327

8355 Highland Rd
Ste A
White Lake, MI 48386
Phone (248) 425-2159

8355 Highland Rd
Ste 106
White Lake, MI 48386

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1114484540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 HIGHLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864618",
            "telephone_number": "248-666-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 HIGHLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864618",
            "telephone_number": "248-666-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAAN EKKAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "EKKAH",
        "authorized_official_first_name": "MAAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-925-0948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.