Individual provider Active NPI

Asif Munir, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Dearborn, MI
National Provider Identifier
1184695330
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301057000 Issued in MI
Practice address
15100 Mercantile Dr
Dearborn, MI 48120-1223
Phone
(734) 266-2780
Fax
(734) 466-9615
NPI assigned
Jan 27, 2006
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301057000 MI Primary

Addresses

Primary practice location

15100 Mercantile Dr
Dearborn, MI 48120-1223

Mailing address

15100 Mercantile Dr
Dearborn, MI 48120-1223
Phone (734) 266-2780

Other identifiers 1

IdentifierTypeStateIssuer
4406238MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000334 MI Practitioner - Critical Care (Intensivists) 0446141386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5327

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4150

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3604

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Medicine Partners, PC Critical Care Medicine CurrentSince Jul 1, 2002 Accepting new patients
Critical Care Medicine Partners, PC CurrentSince Mar 21, 2002 Accepting new patients
Mercy Memorial Hospital Corporatio Past Accepting new patients

Locations

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 3

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 6

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1184695330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 MERCANTILE DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201223",
            "telephone_number": "734-266-2780",
            "fax_number": "734-466-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 MERCANTILE DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201223",
            "telephone_number": "734-266-2780",
            "fax_number": "734-466-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIR",
        "first_name": "ASIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301057000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4406238",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.