Anant B Bhogaonker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301031977 Issued in MI

Practice address

22255 Greenfield Rd
Ste 320
Southfield, MI 48075-3710

Phone

(248) 559-7958

Fax

(248) 559-9080

NPI assigned

Nov 14, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hasan Hasaba MD PLLC

  dba Greenfield Pediatrics

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1184993404
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457333718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-559-7958",
            "fax_number": "248-559-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-559-7958",
            "fax_number": "248-559-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOGAONKER",
        "first_name": "ANANT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301031977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114332",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaafer Beydoun
• Julie Bezinque
• Ann Marie Bhat, NP
• Kamaljeet Bhatia, MD
• Shweta Bhatia
• Bruce Bialor, MD
• Carla Diane Bibart, PA-C
• Tasha Biddle
• Big Heart Corporation (Big Heart Home Care)
• Big Heart Enterprise LLC

• Pediatrics Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.