Individual provider Active NPI

Maimoona Hakim Husain, M.D.

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1487731816
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301050453 Issued in MI
Practice address
19445 W Warren Ave
Detroit, MI 48228-3361
Phone
(313) 307-0088
Fax
(313) 281-2235
NPI assigned
Nov 1, 2006
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301050453 MI Primary

Addresses

Primary practice location

19445 W Warren Ave
Detroit, MI 48228-3361

Mailing address

19445 W Warren Ave
Detroit, MI 48228-3361
Phone (313) 307-0088

Other practice location 1

17950 Woodward Ave
Detroit, MI 48203-2260
Phone (248) 739-0280

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
I20050502000992 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal MedicinePractitioner - Psychiatry 5496794166 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AsnaaGroup PAC ID 9931429255, 7 clinicians

Practice addresses (Care Compare)

19445 W Warren
Iamerica Behavioral and Mental Health
Detroit, MI 48228-3361
Phone (313) 307-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Rehabilitation Center, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Hegira Health, Inc CurrentSince Oct 14, 2018 Accepting new patients
Asnaa General Practice CurrentSince Sep 3, 2021 Accepting new patients
Hegira Health, Inc. CurrentSince Oct 14, 2018 Accepting new patients
Sacred Heart Rehabilitation Center, Inc. Current Accepting new patients
Madison Medical P.C Past Accepting new patients
Healthcare Administrative Services LLC General Practice Past Accepting new patients
Virginia Park Medical Services PLLC General Practice Past Accepting new patients
Medical Services of Detroit PC Family Medicine Past Accepting new patients
Medical Services of Detroit PC Family Medicine Past Accepting new patients
Lilian Lai MD PC Past Accepting new patients

Locations

8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088

19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

19445 W Warren Ave
Ste B
Detroit, MI 48228
Phone (734) 324-0055

3120 Carpenter St
Ste 211
Hamtramck, MI 48212
Phone (313) 893-2483

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

400 Stoddard Rd
Richmond, MI 48062

19611 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 541-9550

25350 Eureka Rd
Taylor, MI 48180
Phone (313) 307-0088

25350 Eureka Rd
Ste B
Taylor, MI 48180
Phone (734) 905-0100

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1487731816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19445 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283361",
            "telephone_number": "313-307-0088",
            "fax_number": "313-281-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19445 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283361",
            "telephone_number": "313-307-0088",
            "fax_number": "313-281-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17950 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482032260",
            "country_code": "US",
            "telephone_number": "248-739-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "MAIMOONA",
        "middle_name": "HAKIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301050453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.