Individual provider Active NPI

Manit Pahuja, FNP-C

  • Family Nurse Practitioner
  • Fraser, MI
National Provider Identifier
1124768361
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704304957 Issued in MI
Practice address
33021 Garfield Rd
Fraser, MI 48026-1800
Phone
(866) 387-2727
NPI assigned
Mar 29, 2022
Last updated
Dec 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704304957 MI Primary

Addresses

Primary practice location

33021 Garfield Rd
Fraser, MI 48026-1800

Mailing address

35331 Shell Dr
Sterling Heights, MI 48310-4925
Phone (586) 907-1659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207001543 MI Practitioner - Nurse Practitioner 7416326855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

33021 Garfield Rd
Fraser, MI 48026-1800
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
98.95 of 100Reported as group
Quality
84.26
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Neurological Assoc PLLC CurrentSince Aug 30, 2022 Accepting new patients
Minuteclinic Primary Care-Michigan PLLC Family CurrentSince Sep 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Dec 23, 2024 Accepting new patients

Locations

33021 Garfield Rd
Fraser, MI 48026
Phone (586) 293-5012

18535 W 12 Mile Rd
Ste A
Lathrup Village, MI 48076
Phone (248) 552-3734

44300 5 Mile Rd
Northville, MI 48168
Phone (734) 416-1883

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1124768361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35331 SHELL DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104925",
            "telephone_number": "586-907-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33021 GARFIELD RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480261800",
            "telephone_number": "866-387-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHUJA",
        "first_name": "MANIT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.