Individual provider Active NPI

Farnaz Abhari, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1508993882
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065718 Issued in MI
Practice address
33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307
Phone
(248) 855-0900
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 4301065718 MI Primary

Addresses

Primary practice location

33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307

Mailing address

3287 Wards Point Dr
Orchard Lake, MI 48324-1652
Phone (248) 231-8369

Other identifiers 1

IdentifierTypeStateIssuer
4358551MedicaidMI

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
I20090130000173 MI Practitioner - Internal Medicine 5395642656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307
Phone (248) 489-9070

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Farnaz S Abhari MD PC Internal Medicine CurrentSince Aug 1, 1999 Accepting new patients
Samina Ansar Ghazi MD PC Current Accepting new patients
SSM Select Rehab St Louis LLC Past Accepting new patients
Waad Dakkak PLLC Internal Medicine Past Accepting new patients
Rapidcare PLLC Past Accepting new patients

Locations

33110 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (248) 390-9034

4085 Pontiac Trl
Orchard Lake, MI 48323
Phone (248) 977-4628

Organizations & group practices 5

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 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1508993882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 WARDS POINT DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241652",
            "telephone_number": "248-231-8369",
            "fax_number": "248-489-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33110 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343307",
            "telephone_number": "248-855-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABHARI",
        "first_name": "FARNAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4358551",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.