Active NPI
Hem P. Mohindra, M.D.
- Nephrology Physician
- Detroit, MI
National Provider Identifier
1164590618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301032922
- Practice address
- Henry Ford Medical Group - Detroit Northwest
7800 West Outer Drive
Detroit, MI 48235 - Phone
- (313) 653-2300
- Fax
- (313) 653-2660
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- 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 | 4301032922 | MI | |
| Nephrology Physician | 207RN0300X | 4301032922 | MI | Primary |
Addresses
Primary practice location
Henry Ford Medical Group - Detroit Northwest
7800 West Outer Drive
Detroit, MI 48235
Mailing address
Henry Ford Medical Group - Detroit Northwest
7800 West Outer Drive
Detroit, MI 48235
Phone (313) 653-2300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HM032922 | Other | CHAMPUS-CHAMPUS | |
| 700H262220 | Other | BLUE CROSS-BLUE CROSS | |
| 322791110 | Medicaid | MI | |
| HM032922 | Other | COMMERCIAL-COMMERCIAL NUMBER |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301032922 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710
Interoperability endpoints
- hmohindra12743@direct.hfhs.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1164590618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD MEDICAL GROUP - DETROIT NORTHWEST",
"address_2": "7800 WEST OUTER DRIVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-653-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD MEDICAL GROUP - DETROIT NORTHWEST",
"address_2": "7800 WEST OUTER DRIVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-653-2300",
"fax_number": "313-653-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHINDRA",
"first_name": "HEM",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301032922",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301032922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "HM032922",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262220",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322791110",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "HM032922",
"state": null
}
],
"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 Sep 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.