Individual provider Active NPI

Homa Hasnain, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1285695874
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070129 Issued in MI
Practice address
Henry Ford Medical Group - Detroit Northwest
7800 W Outer Drive
Detroit, MI 48235
Phone
(313) 653-2300
Fax
(313) 653-2500
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301070129 MI Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4301070129 MI

Addresses

Primary practice location

Henry Ford Medical Group - Detroit Northwest
7800 W Outer Drive
Detroit, MI 48235

Mailing address

Henry Ford Medical Group - Detroit Northwest
7800 W Outer Drive
Detroit, MI 48235
Phone (313) 653-2300

Other identifiers 4

IdentifierTypeStateIssuer
HH070129OtherCOMMERCIAL-COMMERCIAL NUMBER
080H262390OtherBLUE CROSS-BLUE CROSS
HH070129OtherCHAMPUS-CHAMPUS
494477310MedicaidMI

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
I20060420000658 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 1850300732 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070129MIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Jan 1, 2007 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

7800 W Outer Dr
Detroit, MI 48235
Phone (313) 387-8800

1 Ford Pl
Ste 4D
Detroit, MI 48202

9100 Brombach St
Hamtramck, MI 48212
Phone (313) 972-9000

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: hhasnain16887@direct.hfhs.org

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1285695874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HENRY FORD MEDICAL GROUP - DETROIT NORTHWEST",
            "address_2": "7800 W OUTER DRIVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-653-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY FORD MEDICAL GROUP - DETROIT NORTHWEST",
            "address_2": "7800 W OUTER DRIVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-653-2300",
            "fax_number": "313-653-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASNAIN",
        "first_name": "HOMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070129",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301070129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "HH070129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "080H262390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "HH070129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494477310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.