Active NPI
Feroze A Momin, MD
- Hematology & Oncology Physician
- Dearborn, MI
National Provider Identifier
1396728507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301051771
- Practice address
- 2021 Monroe St Ste 203
Dearborn, MI 48124-2926 - Phone
- (313) 388-6299
- Fax
- (313) 388-6328
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4301051771 | MI | Primary |
Addresses
Primary practice location
2021 Monroe St Ste 203
Dearborn, MI 48124-2926
Mailing address
13530 Michigan Ave
Ste 242
Dearborn, MI 48126-3575
Phone (313) 388-6299
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01004356 | Other | MI | HEALTH PLUS |
| F25010 | Other | MI | HAP |
| 1396728507 | Medicaid | MI | |
| 431518910 | Medicaid | MI | |
| 48121 | Other | MI | OMNICARE |
| 900003803 | Other | MI | RAILROAD MEDICARE |
| 014995 | Other | MI | MIDWEST HEALTH PLAN |
| 1105020291 | Other | MI | BCBS |
| CH9161 | Other | MI | RAILROAD MEDICARE GROUP |
| 110E002110 | Other | MI | BCBS |
| 124278 | Other | MI | GREAT LAKES |
| 481780510 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301051771 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parvez Khan MD PC, | Current | Accepting new patients | |
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
Locations
861 Monroe St
Dearborn, MI 48124
Phone (313) 274-1800
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
831 Monroe St
Ste B
Dearborn, MI 48124
Phone (313) 274-1800
Interoperability endpoints
- fmomin330101@direct.hfhs.org
Organizations & group practices 2
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.
-
- Oncology Clinic/Center
- Dearborn, MI
- NPI 1134459662
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1396728507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVE",
"address_2": "STE 242",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263575",
"telephone_number": "313-388-6299",
"fax_number": "313-388-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 MONROE ST STE 203",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242926",
"telephone_number": "313-388-6299",
"fax_number": "313-388-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMIN",
"first_name": "FEROZE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301051771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "01004356",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "F25010",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396728507",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431518910",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE",
"identifier": "48121",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "900003803",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "014995",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1105020291",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CH9161",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110E002110",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "124278",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "481780510",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.