Individual provider Active NPI

Devinder Mahajan, M.D.

  • Pulmonary Disease Physician
  • Dearborn, MI
National Provider Identifier
1487624052
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DM037664 Issued in MI
Practice address
18181 Oakwood Blvd
Suite 208
Dearborn, MI 48124-5031
Phone
(313) 271-5565
Fax
(313) 271-1053
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301037664 MI
Pulmonary Disease Physician 207RP1001X DM037664 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd
Suite 208
Dearborn, MI 48124-5031

Mailing address

2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone (734) 316-7880

Other practice location 1

24050 Oxford St
Dearborn, MI 48124-2694
Phone (313) 292-3500

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
I20040920000675 MI Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Internal Medicine 4688642531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DM037664MIMDPulmonary Disease Physician
4301037664MIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Specialists of Michigan, PC Pulmonary Disease CurrentSince Oct 3, 2011 Accepting new patients
Millennium Medical Group South PC Past Accepting new patients
Satinder Kumar Aggarwal MD P C Past Accepting new patients

Locations

18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124
Phone (313) 271-5565

24050 Oxford St
Dearborn, MI 48124
Phone (313) 292-3500

23500 Park St
Ste 3
Dearborn, MI 48124
Phone (313) 292-3500

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

10501 Telegraph Rd
Ste 102
Taylor, MI 48180
Phone (313) 292-3500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1487624052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S STATE ST STE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046188",
            "telephone_number": "734-316-7880",
            "fax_number": "888-837-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 208",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-271-5565",
            "fax_number": "313-271-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24050 Oxford St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242694",
            "country_code": "US",
            "telephone_number": "313-292-3500",
            "fax_number": "313-292-3503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "DEVINDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301037664",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "DM037664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.