Active NPI
Hirva Mansurali Mamdani, M.D.
- Hematology & Oncology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301098222
- Practice address
- 4100 John R St
Detroit, MI 48201-2013 - Phone
- (800) 527-6266
- Fax
- (313) 576-8627
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301098222 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 4301098222 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Detroit, MI 48201-2013
Mailing address
1891 Kirts Blvd
Apt 210
Troy, MI 48084
Phone (909) 525-0093
Other practice location 1
535 Barnhill Dr
Indianapolis, IN 46202-5116
Phone (909) 525-0093
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 Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098222 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Past | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
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 and National Provider Directory roles.
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Community Based Hospice Care Agency
- Southfield, MI
- NPI 1740275387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437446820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 KIRTS BLVD",
"address_2": "APT 210",
"city": "TROY",
"state": "MI",
"postal_code": "48084",
"telephone_number": "909-525-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "800-527-6266",
"fax_number": "313-576-8627"
}
],
"practiceLocations": [
{
"address_1": "535 Barnhill Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025116",
"country_code": "US",
"telephone_number": "909-525-0093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMDANI",
"first_name": "HIRVA",
"middle_name": "MANSURALI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301098222",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301098222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.