Individual provider Active NPI

Ashok Kumar Kondur, M.D.

  • Interventional Cardiology Physician
  • Taylor, MI
National Provider Identifier
1508819434
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301077525 Issued in MI
Practice address
9029 Pardee Rd
Taylor, MI 48180-2755
Phone
(313) 437-8427
Fax
(313) 437-8429
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 4301077525 MI
Cardiovascular Disease Physician 207RC0000X 4301077525 MI
Interventional Cardiology Physician 207RI0011X 4301077525 MI Primary
Internal Medicine Physician 207R00000X 4301077525 MI

Addresses

Primary practice location

9029 Pardee Rd
Taylor, MI 48180-2755

Mailing address

9029 Pardee Rd
Taylor, MI 48180-2755
Phone (313) 437-8427

Other practice location 1

5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619
Phone (313) 724-9000

Other practice location 2

2615 Electric Ave Ste A
Port Huron, MI 48060-6575
Phone (313) 437-8427

Other practice location 3

35700 Warren Rd Ste C
Westland, MI 48185-3808
Phone (313) 437-8427

Other identifiers 1

IdentifierTypeStateIssuer
4836622MedicaidMI

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
I20050919001036 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Interventional Cardiology 4880668326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Elias H Kassab MD PLLCGroup PAC ID 8123257987, 10 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

5250 Auto Club Dr
Suite 300
Dearborn, MI 48126-2619
Phone (313) 724-9000

5479 Schaefer Rd
Dearborn, MI 48126-3222
Phone (313) 581-2121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
S P Garg MD PC Cardiovascular Disease CurrentSince Sep 1, 2015 Accepting new patients
Michigan Healthcare Center CurrentSince Jan 27, 2018 Accepting new patients
Elias H Kassab MD PLLC Cardiovascular Disease CurrentSince Aug 1, 2015 Accepting new patients
Michigan Heart and Vascular Interventional Cardiology Current Accepting new patients
Ambucare Clinic P.C. PastSince Sep 2, 2008 Accepting new patients
Associated General Practice Network PLLC Internal Medicine Past Accepting new patients
Anchor Senior Medical Services PLLC Internal Medicine Past Accepting new patients

Locations

15101 Southfield Rd
Ste 104
Allen Park, MI 48101
Phone (248) 615-1234

2010 15th St
Bay City, MI 48708
Phone (989) 893-8361

1695 12 Mile Rd
Ste 245
Berkley, MI 48072
Phone (248) 307-7275

5479 Schaefer Rd
Dearborn, MI 48126
Phone (313) 357-2225

5250 Auto Club Dr
Ste 300
Dearborn, MI 48126
Phone (313) 724-9000

5250 Auto Club Dr
Ste 170
Dearborn, MI 48126
Phone (313) 359-8300

G3267 Beecher Rd
Flint, MI 48532
Phone (248) 331-7239

2615 Electric Ave
Ste A
Port Huron, MI 48060
Phone (810) 982-9911

9029 Pardee Rd
Taylor, MI 48180
Phone (313) 292-8400

35700 Warren Rd
Ste C
Westland, MI 48185
Phone (313) 437-8427

Interoperability endpoints

  • Direct secure messaging: akondur221499@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1508819434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 PARDEE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802755",
            "telephone_number": "313-437-8427",
            "fax_number": "313-437-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 PARDEE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802755",
            "telephone_number": "313-437-8427",
            "fax_number": "313-437-8429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Auto Club Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262619",
            "country_code": "US",
            "telephone_number": "313-724-9000",
            "fax_number": "313-908-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 Electric Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606575",
            "country_code": "US",
            "telephone_number": "313-437-8427",
            "fax_number": "313-437-8429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35700 Warren Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481853808",
            "country_code": "US",
            "telephone_number": "313-437-8427",
            "fax_number": "313-437-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDUR",
        "first_name": "ASHOK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301077525",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301077525",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301077525",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4836622",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.