Individual provider Active NPI

Anza Bilal Memon, M.D

  • Neurology Physician
  • Detroit, MI
National Provider Identifier
1497060818
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301094284 Issued in MI
Practice address
4201 Saint Antoine St Ste 8a
Detroit, MI 48201-2153
Phone
(313) 577-8114
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301094284 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St Ste 8a
Detroit, MI 48201-2153

Mailing address

45095 Bartlett Dr
Novi, MI 48377-2566
Phone (248) 238-0399

Other names 1

  • Dr. Anza Bilal Memon Professional name

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
I20160830000877 MI Practitioner - Neurology 5698060648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094284MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health System Neurology CurrentSince Aug 2, 2016 Accepting new patients
Henry Ford Health System CurrentSince Aug 2, 2016 Accepting new patients
Henry Ford Health System Current Accepting new patients
University Physician Group PastSince Jan 1, 2025 Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

4201 Saint Antoine St
Ste 8A
Detroit, MI 48201
Phone (313) 577-8114

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

4201 Saint Antoine St
Ste 8A8B
Detroit, MI 48201

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Ste 8B
Detroit, MI 48201

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: amemon360090@direct.hfhs.org
  • Direct secure messaging: anza.memon.1@19711.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341619200000",
    "number": "1497060818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45095 BARTLETT DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772566",
            "telephone_number": "248-238-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST STE 8A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "ANZA",
        "middle_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2012-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301094284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANZA",
            "last_name": "MEMON",
            "middle_name": "BILAL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.