Active NPI
Abdul Malik Qavi, D.O.
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34012967
- Practice address
- 3031 W Grand Blvd
Suite 450
Detroit, MI 48202-3046 - Phone
- (586) 258-8169
- NPI assigned
- Apr 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34012967 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3031 W Grand Blvd
Suite 450
Detroit, MI 48202-3046
Mailing address
8167 Bay CT
Temperance, MI 48182-9157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Hospitalist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6328
Hospital & facility affiliations
- Ashtabula County Medical Center
- Hillcrest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34012967 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Ashtabula County Medical Center | Current | Accepting new patients | |
| Apogee Medical Group Ohio Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Ashtabula County Medical Center | Past | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
- Specialist
- Ashtabula, OH
- NPI 1942247143
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1124448113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8167 BAY CT",
"city": "TEMPERANCE",
"state": "MI",
"postal_code": "481829157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD",
"address_2": "SUITE 450",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023046",
"telephone_number": "586-258-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAVI",
"first_name": "ABDUL",
"middle_name": "MALIK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34012967",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 19, 2019; 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.