Individual provider Active NPI

Iqbal A Nasir, M.D.

  • Internal Medicine Physician
  • Brownstown TWP, MI
National Provider Identifier
1477523439
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
058753 Issued in MI
Practice address
19727 Allen Rd
Brownstown TWP, MI 48183-1188
Phone
(734) 479-8000
Fax
(734) 479-4812
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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 058753 MI Primary

Addresses

Primary practice location

19727 Allen Rd
Brownstown TWP, MI 48183-1188

Mailing address

19727 Allen Rd
Brownstown TWP, MI 48183-1188
Phone (734) 479-8000

Other identifiers 1

IdentifierTypeStateIssuer
3310713MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000028 MI Practitioner - Internal Medicine 6103881867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Specialists PCGroup PAC ID 1052319811, 3 clinicians

Practice addresses (Care Compare)

18600 Van Horn Rd
Woodhaven, MI 48183-3828
Phone (734) 479-4800

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058753MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhaven Specialists PC Past Accepting new patients
Sana Health Inc PastSince Jul 1, 2008 Accepting new patients
Michigan House Physicians, P.C. PastSince Sep 14, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: inasir58518@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Aberdeen Rehablitation & Skilled Nursing CenterTrenton, MI, CCN 235052 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%)
Corporate Director
Adp of the SNF
Direct Ownership Interest (50%)
Jul 1, 2008
Jul 1, 2008
Jul 1, 2008
Jul 1, 2008
Aerius Health CenterRiverview, MI, CCN 235725 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
Adp of the SNF
Sep 14, 2018
Sep 14, 2018
Sep 14, 2018

Owned or controlled facilities with NPI records 2

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1193270400000",
    "number": "1477523439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19727 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831188",
            "telephone_number": "734-479-8000",
            "fax_number": "734-479-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19727 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831188",
            "telephone_number": "734-479-8000",
            "fax_number": "734-479-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIR",
        "first_name": "IQBAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "058753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310713",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

Verify at the official NPI Registry.