Advanced MD Specialty Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED MD SPECIALTY CARE PLLC

Practice address

16226 Grand River Ave
Detroit, MI 48227-1824

Phone

(313) 836-5490

Fax

(313) 836-5224

NPI assigned

Jul 28, 2023

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chadi Saad, MDNPI 1114193646

Title

President

Phone

(313) 836-5490

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pooja Kodali, MD

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1477040608
  Medicare reassignment Care Compare group NPD
• Noveen Rehman, AGACNP

  • Medical-Surgical Registered Nurse
  • Detroit, MI
  • NPI 1831883420

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Chadi Youssef Saad, MD

  • Nephrology Physician
  • Detroit, MI
  • NPI 1114193646

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Layla A Brown, FNP-C

  • Family Nurse Practitioner
  • Wyandotte, MI
  • NPI 1114471208
  Medicare reassignment NPD
• Elena Gupta, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Jackson, MI
  • NPI 1598946782
  Medicare reassignment NPD
• Kristina Le, MD

  • Family Medicine Physician
  • Ferndale, MI
  • NPI 1558986984
  Medicare reassignment NPD

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1225719693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16226 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271824",
            "telephone_number": "313-836-5490",
            "fax_number": "313-836-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16226 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271824",
            "telephone_number": "313-836-5490",
            "fax_number": "313-836-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MD SPECIALTY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "CHADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-836-5490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.