Individual provider Active NPI

Deemah Mahadin, MD

  • Pediatric Cardiology Physician
  • Detroit, MI
National Provider Identifier
1508068560
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
4301084553 Issued in MI
Practice address
3901 Beaubien
Children'S Hospital of Mi
Detroit, MI 48201
Phone
(313) 745-5956
Fax
(313) 993-0894
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301084553 MI
Pediatric Cardiology Physician 2080P0202X 4301084553 MI Primary

Addresses

Primary practice location

3901 Beaubien
Children'S Hospital of Mi
Detroit, MI 48201

Mailing address

4201 St. Antione Uhc 6F Mailbox 226
University Pediatricians
Detroit, MI 48201
Phone (313) 966-5051

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
I20101013001133 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 6305038902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University PediatriciansGroup PAC ID 9638070568, 121 clinicians

Practice addresses (Care Compare)

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870

Hospital & facility affiliations

  • Children'S Hospital of Michigan Hospital, Detroit, MI, CCN 233300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084553MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
University Pediatricians Pediatrics CurrentSince Jul 11, 2015 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jul 11, 2015 Accepting new patients
Hurley Medical Center Pediatrics CurrentSince Jan 1, 2016 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Mott Children'S Health Center Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Fl 4
Detroit, MI 48201
Phone (313) 745-4878

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

Interoperability endpoints

  • Direct secure messaging: dmahadin57938@direct.hfhs.org
  • Direct secure messaging: dmahadin@direct.dmc.org

Organizations & group practices 6

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 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1508068560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTIONE UHC 6F MAILBOX 226",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-966-5051",
            "fax_number": "313-966-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN",
            "address_2": "CHILDREN'S HOSPITAL OF MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5956",
            "fax_number": "313-993-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADIN",
        "first_name": "DEEMAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084553",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MI",
            "license": "4301084553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.