Active NPI
Amaan Abdul Haq, MD
- Family Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301096545
- Practice address
- 4160 John R St
Suite 708
Detroit, MI 48201-2020 - Phone
- (313) 745-6610
- Fax
- (313) 745-6828
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301096545 | MI | Primary |
Addresses
Primary practice location
4160 John R St
Suite 708
Detroit, MI 48201-2020
Mailing address
4160 John R St
Suite 708
Detroit, MI 48201-2020
Phone (313) 745-6817
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140113000968 | MI | Practitioner - Family Practice | 7113155490 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12660 Ten Mile Rd
2A
South Lyon, MI 48178-9141
Phone (810) 895-4070
22711 Grand River Ave
Suite 100
Detroit, MI 48219-3113
Phone (313) 221-9189
Hospital & facility affiliations
- Harper University Hospital
- Sinai-Grace Hospital
- Henry Ford Health Hospital
- Rehabilitation Institute of Michigan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Kamran F. Sheikh MD PC | Family Medicine | Current | Accepting new patients |
| Halo Tele-Joy PLLC | Past | Accepting new patients |
Locations
4123 Martin Rd
Ste 102
Commerce Township, MI 48390
Phone (248) 366-3700
22711 Grand River Ave
Ste 100
Detroit, MI 48219
Phone (313) 221-9189
22711 Grand River Ave
#100
Detroit, MI 48219
Phone (313) 221-9189
7633 E Jefferson Ave
Ste 290
Detroit, MI 48214
Phone (313) 499-4890
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4160 John R St
Ste 708
Detroit, MI 48201
Phone (313) 745-6817
97 Monroe St
Detroit, MI 48226
Phone (313) 227-0065
Interoperability endpoints
- amaan.haq.1@24172.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Dearborn Heights, MI
- NPI 1841805173
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Detroit, MI
- NPI 1871805150
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1275853269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 708",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-6817",
"fax_number": "313-745-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 708",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-6610",
"fax_number": "313-745-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQ",
"first_name": "AMAAN",
"middle_name": "ABDUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301096545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.