Individual provider Active NPI

Amit Amit, M.D

  • Neurological Surgery Physician
  • Troy, MI
National Provider Identifier
1306120498
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L2074613 Issued in MI
Practice address
1303 Kirts Blvd
Apt 228
Troy, MI 48084-4804
Phone
(248) 250-3830
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L2074613 MI Primary

Addresses

Primary practice location

1303 Kirts Blvd
Apt 228
Troy, MI 48084-4804

Mailing address

1303 Kirts Blvd
Apt 228
Troy, MI 48084-4804
Phone (248) 250-3830

Other identifiers 1

IdentifierTypeStateIssuer
000201877OtherMIDMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2074613MIMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1306120498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 KIRTS BLVD",
            "address_2": "APT 228",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844804",
            "telephone_number": "248-250-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 KIRTS BLVD",
            "address_2": "APT 228",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844804",
            "telephone_number": "248-250-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIT",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "L2074613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "000201877",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.