Active NPI
Heart Care Associates PLLC
- Cardiovascular Disease Physician
- Hamtramck, MI
National Provider Identifier
1457580821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301050980
- Legal business name
- HEART CARE ASSOCIATES PLLC
- Practice address
- 3120 Carpenter St
Suite 209
Hamtramck, MI 48212-9802 - Phone
- (313) 891-0094
- Fax
- (313) 893-0058
- NPI assigned
- Jul 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arif Husain Hakim, MD
- Title
- President
- Phone
- (313) 891-0094
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301050980 | MI | Primary |
Addresses
Primary practice location
3120 Carpenter St
Suite 209
Hamtramck, MI 48212-9802
Mailing address
3120 Carpenter St
Suite 209
Hamtramck, MI 48212-9802
Phone (313) 891-0094
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H270770 | Other | MI | BCBS GROUP |
| DQ8467 | Other | MI | RAILROAD MEDICARE GROUP |
| 700H270770 | Other | MI | BCN GROUP |
| 700F383880 | Other | MI | BCBS GROUP |
| 1457580821 | Medicaid | MI | |
| 700F383880 | Other | MI | BCN GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14500 W McNichols Rd
Detroit, MI 48235
Phone (313) 863-3338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1831267376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1457580821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 CARPENTER ST",
"address_2": "SUITE 209",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482129802",
"telephone_number": "313-891-0094",
"fax_number": "313-893-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 CARPENTER ST",
"address_2": "SUITE 209",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482129802",
"telephone_number": "313-891-0094",
"fax_number": "313-893-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART CARE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-07",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "HAKIM",
"authorized_official_first_name": "ARIF",
"authorized_official_middle_name": "HUSAIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-891-0094",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301050980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "700H270770",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DQ8467",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN GROUP",
"identifier": "700H270770",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "700F383880",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457580821",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN GROUP",
"identifier": "700F383880",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.