Organization Active NPI

Heart Care Associates PLLC

  • Cardiovascular Disease Physician
  • Hamtramck, MI
National Provider Identifier
1457580821
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301050980 Issued in MI
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

Updated by the provider on Jun 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Arif Husain Hakim, MDNPI 1831267376
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
700H270770OtherMIBCBS GROUP
DQ8467OtherMIRAILROAD MEDICARE GROUP
700H270770OtherMIBCN GROUP
700F383880OtherMIBCBS GROUP
1457580821MedicaidMI
700F383880OtherMIBCN GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000652 MI Part B Supplier - Clinic/Group Practice 4082768007 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.