Active NPI
Kanzoni Neumann Asabigi, MD
- Family Medicine Physician
- Detroit, MI
National Provider Identifier
1437755097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4352000458
- Practice address
- 1145 W Grand Blvd
Detroit, MI 48208-2336 - Phone
- (313) 324-8900
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 9, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4352000458 | MI | Primary |
Addresses
Primary practice location
1145 W Grand Blvd
Detroit, MI 48208-2336
Mailing address
541 S Piper CT
Detroit, MI 48215-3294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4352000458 | Other | MI | GENERAL PRACTICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Detroit |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Recovery Project | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1932579265
-
dba Detroit recovery Project, Inc
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1760890263
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1578850251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1437755097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 S PIPER CT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482153294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082336",
"telephone_number": "313-324-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASABIGI",
"first_name": "KANZONI",
"middle_name": "NEUMANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4352000458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL PRACTICE",
"identifier": "4352000458",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Detroit",
"affiliation": "N",
"address_1": "1145 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482082336",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.