NPIMap

Individual provider Active NPI

Asif Ishaque, MD

  • Internal Medicine Physician
  • Davison, MI
National Provider Identifier
1447220371
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301062301 Issued in MI
Practice address
9244 Lapeer Road
Davison, MI 48423
Phone
(810) 653-2111
Fax
(810) 653-8506
NPI assigned
Jan 24, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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 4301062301 MI Primary

Addresses

Primary practice location

9244 Lapeer Road
Davison, MI 48423

Mailing address

9244 Lapeer Road
Davison, MI 48423
Phone (810) 653-2111

Other identifiers 4

IdentifierTypeStateIssuer
AI062301OtherMIBCBSM BLUE CROSS
1102S10260OtherBLUE CARE NETWORK
4S20448MedicaidMI
098S094OtherHEALTH PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000642 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0648165092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9244 Lapeer Rd
Davison, MI 48423-1757
Phone (810) 653-2111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asif Ishaque MD PC Internal Medicine CurrentSince Mar 1, 2004 Accepting new patients
Amanda Winston MD PLLC Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Briarwood Opco LLC PastSince Oct 1, 2023 Accepting new patients
Heartland-Briarwood Mi, LLC Past Accepting new patients

Locations

9244 Lapeer Rd
Davison, MI 48423
Phone (810) 653-2111

3433 Fenton Rd
Flint, MI 48507
Phone (810) 233-5133

Interoperability endpoints

  • Direct secure messaging: aishaque1132956@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/24383/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Briarwood Nursing and RehabFlint, MI, CCN 235184 Skilled nursing facility Adp of the SNF Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1447220371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 LAPEER ROAD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "48423",
            "telephone_number": "810-653-2111",
            "fax_number": "810-653-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 LAPEER ROAD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "48423",
            "telephone_number": "810-653-2111",
            "fax_number": "810-653-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAQUE",
        "first_name": "ASIF",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM BLUE CROSS",
            "identifier": "AI062301",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1102S10260",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4S20448",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "098S094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.