Individual provider Active NPI

Syed M Ghani, DPM

  • Podiatrist
  • Eastpointe, MI
National Provider Identifier
1174521439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001883 Issued in MI
Practice address
23700 Gratiot Ave
Eastpointe, MI 48021-1647
Phone
(586) 779-1160
Fax
(586) 779-1163
NPI assigned
Jul 11, 2005
Reactivated
Mar 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001883 MI Primary

Addresses

Primary practice location

23700 Gratiot Ave
Eastpointe, MI 48021-1647

Mailing address

23700 Gratiot Ave
Eastpointe, MI 48021-1647
Phone (586) 779-1160

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000220 MI Practitioner - Podiatry 4183685761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahmed a. Arif MD PCGroup PAC ID 6204803125, 5 clinicians
Physician Coverage Services PCGroup PAC ID 3678536398, 28 clinicians

Practice addresses (Care Compare)

1201 Flushing Rd
Flint, MI 48504-4730
Phone (810) 235-8532

23700 Gratiot Ave
Eastpointe, MI 48021-1647
Phone (586) 779-1160

2700 Robert T Longway Blvd
Flint, MI 48503-2190

2700 Robert T Longway Blvd B
Flint, MI 48503-2190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue283
Removal or shaving of skin growth25
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed a. Arif MD PC CurrentSince Nov 10, 2015 Accepting new patients
Physician Coverage Services PC CurrentSince May 1, 2024 Accepting new patients
Ankle & Foot Clinic PC CurrentSince Mar 1, 2000 Accepting new patients
Asthma, Allergy and Sinus Center, PC Past Accepting new patients
Thomas E. Jacob, D.P.M., P.C. Podiatrist PastSince Oct 12, 2004 Accepting new patients

Locations

23700 Gratiot Ave
Eastpointe, MI 48021
Phone (586) 274-4746

1201 Flushing Rd
Flint, MI 48504
Phone (810) 232-9100

1201 Flushing Rd
Ste 1
Flint, MI 48504
Phone (810) 235-8531

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174521439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211647",
            "telephone_number": "586-779-1160",
            "fax_number": "586-779-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211647",
            "telephone_number": "586-779-1160",
            "fax_number": "586-779-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANI",
        "first_name": "SYED",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.