Individual provider Active NPI

Burhan Tajour, M.D.

  • Internal Medicine Physician
  • Burton, MI
National Provider Identifier
1245431626
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301069223 Issued in MI
Practice address
G3525 S Saginaw St
Burton, MI 48529-1260
Phone
(810) 222-3040
Fax
(810) 958-1176
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301069223 MI Primary

Addresses

Primary practice location

G3525 S Saginaw St
Burton, MI 48529-1260

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730

Other identifiers 1

IdentifierTypeStateIssuer
3384397MedicaidMI

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
I20070717000235 MI Practitioner - Internal Medicine 6103926324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Coverage Services PCGroup PAC ID 3678536398, 28 clinicians

Practice addresses (Care Compare)

2700 Robert T Longway Blvd
Suite B
Flint, MI 48503-2190
Phone (810) 235-2004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Coverage Services PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jan 3, 2022 Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine CurrentSince Jan 3, 2022 Accepting new patients
Physician Coverage Services Past Accepting new patients
Emergency Medical Centre of Flint, Inc. Past Accepting new patients
Emergency Medical Centre of Flint Past Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine Past Accepting new patients

Locations

1125 S Linden Rd
Ste 900
Flint, MI 48532
Phone (810) 733-5390

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

G2065 S Center Rd
Flint, MI 48519
Phone (810) 235-2004

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

Interoperability endpoints

  • Direct secure messaging: btajour111382@direct.hurleymc.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1245431626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3525 S SAGINAW ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291260",
            "telephone_number": "810-222-3040",
            "fax_number": "810-958-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJOUR",
        "first_name": "BURHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301069223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3384397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.