NPIMap

Individual provider Active NPI

Yusuf Qamruzzaman, MD

  • Hematology & Oncology Physician
  • Royal Oak, MI
National Provider Identifier
1174738231
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301104226 Issued in MI
Practice address
3577 W 13 Mile Road Ste 103
Royal Oak, MI 48073
Phone
(313) 274-1800
Fax
(313) 769-6285
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301104226 MI Primary

Addresses

Primary practice location

3577 W 13 Mile Road Ste 103
Royal Oak, MI 48073

Mailing address

3577 W. 13 Mile Road Ste 103
Royal Oak, MI 48073
Phone (248) 288-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217000110 MI Practitioner - Hematology/Oncology 1658519590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301104226MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Hematology & Oncology CurrentSince Jul 10, 2017 Accepting new patients
Parvez Khan MD PC, CurrentSince Oct 1, 2013 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 10, 2017 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 5, 2018 Accepting new patients

Locations

6770 Dixie Hwy
Ste 107
Clarkston, MI 48346
Phone (248) 625-7506

6770 Dixie Hwy
Ste 106A
Clarkston, MI 48346
Phone (248) 625-2071

861 Monroe St
Dearborn, MI 48124
Phone (313) 274-1800

831 Monroe St
Ste B
Dearborn, MI 48124
Phone (313) 274-1800

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3577 W 13 Mile Rd
Ste 103
Royal Oak, MI 48073
Phone (248) 288-4500

3601 W 13 Mile Rd
Ste Bcc
Royal Oak, MI 48073
Phone (248) 551-3300

4550 Investment Dr
Ste B120
Troy, MI 48098
Phone (248) 267-6569

Interoperability endpoints

  • Direct secure messaging: yqamruzzaman1251879@epic00.shdirect.org
  • Direct secure messaging: yqamruzzaman258772@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1174738231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 W. 13 MILE ROAD STE 103",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-288-4500",
            "fax_number": "248-288-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE ROAD STE 103",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "313-274-1800",
            "fax_number": "313-769-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAMRUZZAMAN",
        "first_name": "YUSUF",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301104226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.