Individual provider Active NPI

Ghulam A Harrie, MD

  • Family Medicine Physician
  • Pontiac, MI
National Provider Identifier
1275055626
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301112847 Issued in MI
Practice address
461 W Huron St Ste 107
Pontiac, MI 48341-1601
Phone
(248) 724-7600
Fax
(248) 724-6800
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301112847 MI Primary

Addresses

Primary practice location

461 W Huron St Ste 107
Pontiac, MI 48341-1601

Mailing address

PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600

Other practice location 1

6150 Cadieux Rd
Detroit, MI 48224-2006
Phone (313) 398-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghulam.harrie.p1@direct.oihn.nextgenshare.com

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
I20200722003916 MI Practitioner - Family Practice 3678997616 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301112847MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network CurrentSince Sep 22, 2025 Accepting new patients
Oakland Integrated Healthcare Network CurrentSince Sep 22, 2025 Accepting new patients
Dedicated Physicians Group of Michigan PLLC CurrentSince Jun 1, 2022 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

13210 E Jefferson Ave
Detroit, MI 48215
Phone (313) 335-3444

461 W Huron St
Ste 107
Pontiac, MI 48341
Phone (248) 857-7432

1701 Baldwin Ave
Pontiac, MI 48340
Phone (248) 334-4962

1701 Baldwin Ave
Ste 102
Pontiac, MI 48340
Phone (248) 334-4962

48980 Woodward Ave
Pontiac, MI 48342
Phone (248) 724-7400

Interoperability endpoints

  • Direct secure messaging: ghulam.harrie.p1@direct.oihn.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1275055626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST STE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482242006",
            "country_code": "US",
            "telephone_number": "313-398-2800",
            "fax_number": "313-649-4855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIE",
        "first_name": "GHULAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301112847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghulam.harrie.p1@direct.oihn.nextgenshare.com",
            "affiliation": "N",
            "address_1": "461 W Huron St Ste 107",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483411601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.