NPIMap

Individual provider Active NPI

Syed M Danish, MD

  • Internal Medicine Physician
  • Southgate, MI
National Provider Identifier
1326057589
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065324 Issued in MI
Practice address
13819 Trenton Rd
Southgate, MI 48195-1830
Phone
(734) 282-7911
NPI assigned
Aug 5, 2006
Last updated
Jun 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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 4301065324 MI Primary

Addresses

Primary practice location

13819 Trenton Rd
Southgate, MI 48195-1830

Mailing address

13819 Trenton Rd
Southgate, MI 48195-1830
Phone (734) 282-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000849 MI Practitioner - Internal Medicine 3779763164 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13819 Trenton Rd
Southgate, MI 48195-1830
Phone (734) 282-7911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065324MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southgate Medical Clinic PC CurrentSince Feb 1, 2011 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

13819 Trenton Rd
Southgate, MI 48195
Phone (734) 282-7911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEJHBA/Endpoint/DEJHBA
  • Direct secure messaging: sdanish61121@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1326057589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13819 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951830",
            "telephone_number": "734-282-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13819 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951830",
            "telephone_number": "734-282-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANISH",
        "first_name": "SYED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.