NPIMap

Organization Active NPI

Tri City Geriatrics Inc

  • Internal Medicine Physician
  • Caro, MI
National Provider Identifier
1174061014
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067880 Issued in MI
Legal business name
TRI CITY GERIATRICS INC
Practice address
1070 E Caro Rd
Caro, MI 48723-1217
Phone
(989) 672-0341
Fax
(989) 672-0343
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Arshad Aqil, MDNPI 1083656599
Title
Owner
Phone
(989) 672-0341

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 4301067880 MI Primary

Addresses

Primary practice location

1070 E Caro Rd
Caro, MI 48723-1217

Mailing address

1070 E Caro Rd
Caro, MI 48723-1236
Phone (989) 672-0341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170222001409 MI Part B Supplier - Clinic/Group Practice 2961786751 Receives reassigned benefits from 3 practitioners
Practice locations: Caro, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1174061014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231236",
            "telephone_number": "989-672-0341",
            "fax_number": "989-672-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231217",
            "telephone_number": "989-672-0341",
            "fax_number": "989-672-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY GERIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "AQIL",
        "authorized_official_first_name": "ARSHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-672-0341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.