Oktai Mamedov, M.D.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

4301096000 Issued in MI

Practice address

3515 Coolidge Rd
Unit a
East Lansing, MI 48823-8014

Phone

(517) 755-6888

Fax

(888) 501-3585

NPI assigned

Sep 14, 2007

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Sleep Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pulmonary and Critical Care Specialists, P.C.Group PAC ID 1951299981, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oktai.mamedov.1@15085.direct.athenahealth.com

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.

• Pulmonary & Critical Care Specialists, P.C.

  dba Novi Sleep & Diagnostic Center

  • Pulmonary Disease Physician
  • Novi, MI
  • NPI 1962579680

  Sleep Medicine

  Medicare reassignment Care Compare group NPD
• Comprehensive Sleep Diagnostics

  dba Comprehensive Sleep Center

  • Sleep Medicine (Internal Medicine) Physician
  • East Lansing, MI
  • NPI 1457739534
  Medicare reassignment Authorized official
• Mercy Health Partners Sub-Specialty Services

  dba Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1124042700
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Botsford General Hospital

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1093828303

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1114935566

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  dba Beaumont Hospital-Farmington Hills

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  Care Compare affiliation
• Botsford General Hospital

  dba Internal Medicine Associates Farmington Hills

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1538103395

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1871521153

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1871907303

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  dba Botsford Thoracic Surgery Clinic

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912335373

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Pulmonary Disease Physician
  • Farmington Hills, MI
  • NPI 1912915349

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1518152347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18268 PARKSHORE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688588",
            "telephone_number": "443-248-1877",
            "fax_number": "517-657-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 COOLIDGE RD",
            "address_2": "UNIT A",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238014",
            "telephone_number": "517-755-6888",
            "fax_number": "888-501-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39650 Orchard Hill Pl",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483755392",
            "country_code": "US",
            "telephone_number": "248-344-2060",
            "fax_number": "248-344-2069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37595 7 Mile Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521489",
            "country_code": "US",
            "telephone_number": "248-306-9260",
            "fax_number": "517-657-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMEDOV",
        "first_name": "OKTAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301096000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF MICHIGAN, ALL PRODUCTS",
            "identifier": "1518152347",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518152347",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Malloch, RN, IBCLC
• Faith Mallory
• Mary Ann Malosh, BS,WHED
• Daniel Matthew Malsheske, PA
• Elizabeth C Malsheske, PA-C
• Katherine Mamo, FNP
• Ramy Mana, PHARMD
• Ryley Paul Mancine, DO
• Joseph Mandwee
• Melissa Anne Manninen, PH.D.

• Sleep Medicine (Internal Medicine) Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Sleep Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.

Verify at the official NPI Registry.