Individual provider Active NPI

Syed Tanvir Ahmed, MD

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1326097627
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301091096 Issued in MI
Practice address
29601 E 7 Mile Rd
Livonia, MI 48152-1909
Phone
(734) 743-2579
NPI assigned
May 6, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18781 MS
Family Medicine Physician 207Q00000X 4301091096 MI Primary
Internal Medicine Physician 207R00000X 4301091096 MI

Addresses

Primary practice location

29601 E 7 Mile Rd
Livonia, MI 48152-1909

Mailing address

1135 E Broad St
Monticello, MS 39654-7682
Phone (601) 587-1433

Other practice location 1

1135 E Broad St
Monticello, MS 39654-7682
Phone (601) 587-1433

Other identifiers 1

IdentifierTypeStateIssuer
06422064MedicaidMS

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
I20110427000729 MI Practitioner - Family PracticePractitioner - Hospitalist 0547270100 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18781MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Sparrow Clinton Hospital CurrentSince Mar 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Hospitalist CurrentSince Mar 1, 2016 Accepting new patients
Sparrow Clinton Hospital CurrentSince Mar 1, 2016 Accepting new patients
Wa Foote Memorial Hospital Inc. Hospitalist CurrentSince Mar 1, 2017 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Nov 18, 2016 Accepting new patients
Vituity - Michigan Hospitalists PC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 1, 2017 Accepting new patients
Sparrow Ionia Hospital Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Seton Health Corporation of Southeastern Michigan Family Medicine CurrentSince Nov 18, 2016 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

1200 E Michigan Ave
Ste 530
Lansing, MI 48912
Phone (517) 364-5880

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1326097627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E BROAD ST",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396547682",
            "telephone_number": "601-587-1433",
            "fax_number": "601-587-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29601 E 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521909",
            "telephone_number": "734-743-2579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396547682",
            "country_code": "US",
            "telephone_number": "601-587-1433",
            "fax_number": "601-587-4716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED",
        "middle_name": "TANVIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18781",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301091096",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06422064",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.