Redwan Uddin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301058291 Issued in MI

Practice address

9740 Conant St
Hamtramck, MI 48212-3307

Phone

(313) 556-9900

Fax

(313) 556-9911

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Hamtramck Family Health Care PCGroup PAC ID 2860826070, 2 clinicians

Hamtramck Community Medical Center PCGroup PAC ID 9234166174, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ruddin986261@direct.hfhs.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EAJDBA/Endpoint/EAJDBA

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.

• Hamtramck Community Medical Center PC

  • Urgent Care Clinic/Center
  • Hamtramck, MI
  • NPI 1184847808
  Medicare reassignment Care Compare group NPD Authorized official
• Hamtramck Family Health Care PC

  • Family Medicine Physician
  • Hamtramck, MI
  • NPI 1285279075
  Medicare reassignment Care Compare group NPD
• Hamtramck Community Medical Center PC

  • Urgent Care Clinic/Center
  • Hamtramck, MI
  • NPI 1881973592
  NPD Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1376593228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-556-9900",
            "fax_number": "313-556-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-556-9900",
            "fax_number": "313-556-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "REDWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H217350",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376593228",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M'CARE",
            "identifier": "C2344",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tulips Family Dental PLLC
• Georgia Sheryll Tuma, LLMSW
• Jotee Mahisha Uddin, PA
• MD Rahim Uddin
• Mohammed Uddin
• Ultimate Care Transportation LLC
• Ultra Home Care LLC
• Ultracare Pharmacy LLC
• Unique Universal Multi Services
• United Family Care PLLC

• Family Medicine Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.