Active NPI
Family Practice Care PLLC
- General Practice Physician
- Roseville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FAMILY PRACTICE CARE PLLC
- Practice address
- 25350 Kelly Rd
Roseville, MI 48066-4961 - Phone
- (586) 773-8770
- Fax
- (586) 773-0133
- NPI assigned
- Aug 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamed Aslam Khan, M.D.
- Title
- Owner
- Phone
- (586) 773-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MI | Primary |
Addresses
Primary practice location
25350 Kelly Rd
Roseville, MI 48066-4961
Mailing address
25350 Kelly Rd
Roseville, MI 48066-4961
Phone (586) 773-8770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510001554 | MI | Part B Supplier - Clinic/Group Practice | 3476542812 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Warren, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Charwood Medical Group
- General Practice Physician
- Warren, MI
- NPI 1871606822
O20040510001554
National Provider Directory
National Provider DirectoryLocations
725 S Adams Rd
Ste 185
Birmingham, MI 48009
Phone (586) 393-6500
24424 Gratiot Ave
Eastpointe, MI 48021
Phone (586) 778-7575
22601 Harper Ave
Ste 1001
St Clr Shores, MI 48080
Phone (286) 778-8720
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Warren, MI
- NPI 1376265165
-
- Internal Medicine Physician
- Warren, MI
- NPI 1841292372
-
- Internal Medicine Physician
- Warren, MI
- NPI 1629157326
-
- Family Medicine Physician
- Warren, MI
- NPI 1962410977
-
- Internal Medicine Physician
- Warren, MI
- NPI 1750367348
-
- Internal Medicine Physician
- Saint Clair Shores, MI
- NPI 1750497483
-
- Cardiovascular Disease Physician
- Troy, MI
- NPI 1386632875
-
- Cardiovascular Disease Physician
- Royal Oak, MI
- NPI 1124079553
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1932288693
-
- Internal Medicine Physician
- Eastpointe, MI
- NPI 1164409496
-
- Internal Medicine Physician
- Denver, CO
- NPI 1801871660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306959374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25350 KELLY RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664961",
"telephone_number": "586-773-8770",
"fax_number": "586-773-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25350 KELLY RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664961",
"telephone_number": "586-773-8770",
"fax_number": "586-773-0133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "ASLAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-773-8770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.