Individual provider Active NPI

Jihad Mohamad Nadar, MD

  • Family Medicine Physician
  • Burton, MI
National Provider Identifier
1174625834
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301065864 Issued in MI
Practice address
1513 S Center Rd
Burton, MI 48509-1728
Phone
(810) 742-5700
Fax
(810) 742-6062
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301065864 MI Primary

Addresses

Primary practice location

1513 S Center Rd
Burton, MI 48509-1728

Mailing address

1513 S Center Rd
Burton, MI 48509-1728
Phone (810) 742-5700

Other identifiers 1

IdentifierTypeStateIssuer
4516688MedicaidMI

Other names 1

  • Mohamad Nadar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100226000688 MI Practitioner - Family Practice 8729164017 Reassigns benefits to 1 organization
I20250430002853 FL Practitioner - Family Practice 8729164017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301065864MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Feb 1, 2013 Accepting new patients
Ascension Genesys Hospital CurrentSince Feb 1, 2013 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jun 16, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jun 16, 2025 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1588

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1174625834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091728",
            "telephone_number": "810-742-5700",
            "fax_number": "810-742-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091728",
            "telephone_number": "810-742-5700",
            "fax_number": "810-742-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAR",
        "first_name": "JIHAD",
        "middle_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4516688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMAD",
            "last_name": "NADAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.