Active NPI
Homa Hasnain, M.D.
- Family Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301070129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH070129 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 080H262390 | Other | BLUE CROSS-BLUE CROSS | |
| HH070129 | Other | CHAMPUS-CHAMPUS | |
| 494477310 | Medicaid | MI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070129 | MI | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henr Y Ford Health System | Family Medicine | Current | 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
- 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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Family Medicine Physician
- Detroit, MI
- NPI 1952485351
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.