Individual provider Active NPI

Hina S Doshi, MD PC

  • Internal Medicine Physician
  • Clawson, MI
National Provider Identifier
1508857715
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
HD057675 Issued in MI
Practice address
21 S Main St
Clawson, MI 48017-2061
Phone
(248) 588-4777
NPI assigned
Nov 4, 2005
Last updated
Oct 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X HD057675 MI Primary

Addresses

Primary practice location

21 S Main St
Clawson, MI 48017-2061

Mailing address

PO Box 1829
Troy, MI 48099-1829
Phone (248) 588-4777

Other identifiers 6

IdentifierTypeStateIssuer
4576087MedicaidMI
900190509OtherPALMETTO
383619561OtherPPOM
110F323170OtherBC
F82778OtherHAP
C7807OtherMCARE

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
I20040712000494 MI Practitioner - Internal Medicine 5991781114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clawson Internist PCGroup PAC ID 2567448780, 2 clinicians

Practice addresses (Care Compare)

21 S Main St
Clawson, MI 48017-2061
Phone (248) 588-4777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HD057675MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clawson Internist PC Internal Medicine CurrentSince Jun 1, 2004 Accepting new patients
Oakland University Past Accepting new patients

Locations

21 S Main St
Clawson, MI 48017
Phone (248) 588-4777

Organizations & group practices 2

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 4

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1508857715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1829",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991829",
            "telephone_number": "248-588-4777",
            "fax_number": "248-588-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S MAIN ST",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172061",
            "telephone_number": "248-588-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "HINA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "HD057675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4576087",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "900190509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "383619561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "110F323170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "F82778",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C7807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.