NPIMap

Individual provider Active NPI

Jawad Agha, MD

  • Internal Medicine Physician
  • Hazel Park, MI
National Provider Identifier
1235164872
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076703 Issued in MI
Practice address
348 E 9 Mile Rd
Hazel Park, MI 48030-1854
Phone
(248) 268-5666
NPI assigned
Jul 12, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45532 WI
Internal Medicine Physician 207R00000X 4301076703 MI Primary
Hospitalist Physician 208M00000X 4301076703 MI

Addresses

Primary practice location

348 E 9 Mile Rd
Hazel Park, MI 48030-1854

Mailing address

30300 Franklin Rd
Franklin, MI 48025-1407

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
I20070412000482 MI Practitioner - Internal Medicine 2264437185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

348 E 9 Mile Rd
Hazel Park, MI 48030-1854
Phone (248) 268-2566

350 E 9 Mile Rd
Hazel Park, MI 48030-1854
Phone (248) 268-2566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076703MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Care Solutions P.C. Internal Medicine CurrentSince Mar 22, 2025 Accepting new patients
Hazel Park Urgent Care PLLC CurrentSince Oct 29, 2013 Accepting new patients
Jawad Agha MD PC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC PastSince Jan 28, 2024 Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
Mercy Professional Services Internal Medicine Past Accepting new patients

Locations

641 W 9 Mile Rd
Ferndale, MI 48220
Phone (248) 399-5212

20311 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 499-6000

348 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

350 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

350 E 9 Mile Rd
Ste 3
Hazel Park, MI 48030
Phone (248) 268-2566

624 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

101 W Big Beaver Rd
Ste 1400
Troy, MI 48084
Phone (248) 687-1829

Interoperability endpoints

  • Direct secure messaging: jagha19473@direct.hfhs.org

Organizations & group practices 6

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 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1235164872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 FRANKLIN RD",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301854",
            "telephone_number": "248-268-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "JAWAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "45532",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076703",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301076703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

Verify at the official NPI Registry.