Organization Active NPI

Arja MD PC

  • Internal Medicine Physician
  • Lapeer, MI
National Provider Identifier
1124415161
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARJA MD PC
Practice address
1739 N Saginaw St Ste 104a
Lapeer, MI 48446-7627
Phone
(810) 305-0061
Fax
(810) 305-3319
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Mohamad ArjaNPI 1548299464
Title
Owner
Phone
(810) 305-0061

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1739 N Saginaw St Ste 104a
Lapeer, MI 48446-7627

Mailing address

PO Box 21411
Belfast, ME 04915-4111
Phone (810) 305-0061

Other practice location 1

1853 Wingate Rd
Bloomfield Hills, MI 48302-1791
Phone (248) 828-5127

Other identifiers 2

IdentifierTypeStateIssuer
1548299464OtherMIHMO
1548299464MedicaidMI

Practitioners 5

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

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
23D2132046Arja MD PC1739 N Saginaw Street Suite 104a, Lapeer, MI 48446Certificate of waiverJun 11, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150513001825 MI Part B Supplier - Clinic/Group Practice 8325368467 Receives reassigned benefits from 5 practitioners
Practice locations: Lapeer, MI

National Provider Directory

National Provider Directory

Locations

1739 N Saginaw St
Ste 104
Lapeer, MI 48446

2401 W Genesee St
Ste C
Lapeer, MI 48446
Phone (810) 245-6965

1739 N Saginaw St
Ste 104A
Lapeer, MI 48446
Phone (810) 305-0061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16087/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1124415161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21411",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154111",
            "telephone_number": "810-305-0061",
            "fax_number": "810-305-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N SAGINAW ST STE 104A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484467627",
            "telephone_number": "810-305-0061",
            "fax_number": "810-305-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1853 Wingate Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483021791",
            "country_code": "US",
            "telephone_number": "248-828-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARJA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "ARJA",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-305-0061"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "1548299464",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548299464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.