Individual provider Active NPI

Ghazala Azam Ahmed, M.D.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
National Provider Identifier
1497949812
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301100108 Issued in MI
Practice address
2421 Monroe St Ste 201
Dearborn, MI 48124-3043
Phone
(313) 447-0511
Fax
(313) 447-0496
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301100108 MI Primary

Addresses

Primary practice location

2421 Monroe St Ste 201
Dearborn, MI 48124-3043

Mailing address

2421 Monroe St Ste 201
Dearborn, MI 48124-3043
Phone (313) 447-0511

Other identifiers 1

IdentifierTypeStateIssuer
1497949812MedicaidMI

Other names 1

  • Ghazala Ahmed Azam 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
I20120519000109 MI Practitioner - Obstetrics/Gynecology 7315078599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PC 525 clinicians

Practice addresses (Care Compare)

2421 Monroe St
Suite 201
Dearborn, MI 48124-3043
Phone (313) 447-0511

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Jan 7, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince May 10, 2021 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince May 10, 2021 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince May 28, 2019 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

2050 N Haggerty Rd
Ste 260
Canton, MI 48187
Phone (734) 359-5109

2421 Monroe St
Ste 201
Dearborn, MI 48124
Phone (313) 447-0511

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

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

2421 Monroe St
Ste 200
Dearborn, MI 48124
Phone (313) 359-9880

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

4020 Venoy Rd
Ste 1100
Wayne, MI 48184
Phone (313) 563-6000

Interoperability endpoints

  • Direct secure messaging: gahmed1222245@epic00.shdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBCCA/Endpoint/HJBCCA

Organizations & group practices 15

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.

View all 15

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1497949812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-447-0511",
            "fax_number": "313-447-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-447-0511",
            "fax_number": "313-447-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "GHAZALA",
        "middle_name": "AZAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301100108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497949812",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHAZALA",
            "last_name": "AZAM",
            "middle_name": "AHMED",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.