Active NPI
Ghazala Azam Ahmed, M.D.
- Obstetrics & Gynecology Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301100108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497949812 | Medicaid | MI |
Other names 1
- Ghazala Ahmed Azam
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | 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
- gahmed1222245@epic00.shdirect.org
- 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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
MI
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
MI
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Durable Medical Equipment & Medical Supplies
- Royal Oak, MI
- NPI 1245519958
-
- Durable Medical Equipment & Medical Supplies
- Farmington Hills, MI
- NPI 1376964411
-
- Durable Medical Equipment & Medical Supplies
- Troy, MI
- NPI 1518212240
-
- Urology Physician
- Royal Oak, MI
- NPI 1518687227
-
- Critical Care Medicine (Anesthesiology) Physician
- Farmington Hills, MI
- NPI 1831956986
-
- Durable Medical Equipment & Medical Supplies
- Royal Oak, MI
- NPI 1083314660
-
- Durable Medical Equipment & Medical Supplies
- Clarkston, MI
- NPI 1134595143
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.