Individual provider Active NPI

Amaan Abdul Haq, MD

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1275853269
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301096545 Issued in MI
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

Updated by the provider on Oct 22, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Sacred Heart Medical Centre PCGroup PAC ID 5597668947, 13 clinicians

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 Hospital, Detroit, MI, CCN 230104
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Sep 30, 2013 Accepting new patients
Kamran F. Sheikh MD PC Family Medicine CurrentSince Jan 1, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.