Individual provider Active NPI

Nazmul Haque, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1366414377
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065245 Issued in MI
Practice address
23900 Orchard Lake Rd Ste 150
Farmington Hills, MI 48336-2500
Phone
(248) 987-6295
Fax
(248) 987-6296
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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 4301065245 MI Primary

Addresses

Primary practice location

23900 Orchard Lake Rd Ste 150
Farmington Hills, MI 48336-2500

Mailing address

23900 Orchard Lake Rd Ste 150
Farmington Hills, MI 48336-2500
Phone (248) 473-9429

Other identifiers 1

IdentifierTypeStateIssuer
4600398-10MedicaidMI

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
I20040622000687 MI Practitioner - Internal Medicine 0547174153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Medical Center PLCGroup PAC ID 1153235742, 4 clinicians

Practice addresses (Care Compare)

23900 Orchard Lake Rd
Suite 150
Farmington Hills, MI 48336-2500
Phone (248) 427-8000

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065245MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: nhaque3@direct.dmc.org
  • Direct secure messaging: nhaque60396@direct.hfhs.org

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 10

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1366414377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23900 ORCHARD LAKE RD STE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362500",
            "telephone_number": "248-473-9429",
            "fax_number": "248-473-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 ORCHARD LAKE RD STE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362500",
            "telephone_number": "248-987-6295",
            "fax_number": "248-987-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "NAZMUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4600398-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.