NPIMap

Individual provider Active NPI

Delair Omar Gardi, M.D., FACC, FSCI

  • Interventional Cardiology Physician
  • Detroit, MI
National Provider Identifier
1205874302
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301081084 Issued in MI
Practice address
4160 John R St
Suite 724
Detroit, MI 48201-2020
Phone
(313) 832-8888
Fax
(313) 832-4988
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081084 MI
Interventional Cardiology Physician 207RI0011X 2001000662 MO
Vascular Surgery Physician 2086S0129X 2001000662 MO
Cardiovascular Disease Physician 207RC0000X 4301081084 MI
Interventional Cardiology Physician 207RI0011X 4301081084 MI Primary
Nuclear Cardiology Physician 207UN0901X 4301081084 MI
Vascular Surgery Physician 2086S0129X 4301081084 MI

Addresses

Primary practice location

4160 John R St
Suite 724
Detroit, MI 48201-2020

Mailing address

4160 John R St
Suite 724
Detroit, MI 48201-2014
Phone (313) 832-8888

Other identifiers 1

IdentifierTypeStateIssuer
1205874302MedicaidMI

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
I20040914001065 MI Practitioner - Cardiovascular Disease (Cardiology) 2365419892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Kansas City, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access and Vascular CareGroup PAC ID 8628200987, 3 clinicians
DO Gardi MD PCGroup PAC ID 3375642150, 4 clinicians

Practice addresses (Care Compare)

10861 W 10 Mile Rd
Oak Park, MI 48237-1745
Phone (248) 268-1135

4160 John R St
Suite 724
Detroit, MI 48201-2014
Phone (313) 832-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Varicose vein removal81
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001000662MOMDInterventional Cardiology Physician
4301081084MIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DO Gardi MD PC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Access and Vascular Care Vascular Surgery CurrentSince Sep 1, 2014 Accepting new patients
Monroe Geriatric Evaulation and Management Services PLLC Internal Medicine Past Accepting new patients
University Physician Group Internal Medicine Past Accepting new patients
Heart and Vascular Physicians PLC Cardiovascular Disease PastSince Mar 1, 2007 Accepting new patients

Locations

4160 John R St
Ste 724
Detroit, MI 48201
Phone (313) 831-6842

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

14555 Levan Rd
Ste 303
Livonia, MI 48154
Phone (734) 367-4603

10861 W 10 Mile Rd
Oak Park, MI 48237
Phone (248) 268-1135

1853 E Maple Rd
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: dgardi@direct.dmc.org
  • Direct secure messaging: dgardi21793@direct.trinity-health.org

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.

Hospital & facility affiliations 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1205874302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 724",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012014",
            "telephone_number": "313-832-8888",
            "fax_number": "313-832-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 724",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-832-8888",
            "fax_number": "313-832-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDI",
        "first_name": "DELAIR",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D., FACC, FSCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081084",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2001000662",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2001000662",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301081084",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301081084",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301081084",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301081084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205874302",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.