Individual provider Active NPI

Nesrene A Ghani, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1316998693
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301055729 Issued in MI
Practice address
5245 Schaefer Rd
Suite a
Dearborn, MI 48126-3257
Phone
(313) 624-0000
Fax
(313) 624-0063
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301055729 MI Primary

Addresses

Primary practice location

5245 Schaefer Rd
Suite a
Dearborn, MI 48126-3257

Mailing address

5245 Scheafer Rd
Suite a
Dearborn, MI 48126-3574
Phone (313) 624-0000

Other identifiers 1

IdentifierTypeStateIssuer
4301055729OtherMILICENSE

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
I20040614000550 MI Practitioner - Internal Medicine 3173507720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5245 Schaefer Rd
Suite a
Dearborn, MI 48126-3257
Phone (313) 624-0000

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055729MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schaefer Medical Center Dearborn PLC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

5245 Schaefer Rd
Ste A
Dearborn, MI 48126
Phone (313) 581-3000

Organizations & group practices 1

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 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1316998693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 SCHEAFER RD",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "313-624-0000",
            "fax_number": "313-624-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 SCHAEFER RD",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263257",
            "telephone_number": "313-624-0000",
            "fax_number": "313-624-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANI",
        "first_name": "NESRENE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301055729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.