Organization Active NPI

Meer Deen DPM PC

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1518173137
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD001057 Issued in MI
Legal business name
MEER DEEN DPM PC
Practice address
24060 W 9 Mile Rd
Southfield, MI 48034-3904
Phone
(248) 356-5900
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Meer J Deen, DPMNPI 1205818960
Title
Owner
Phone
(248) 356-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD001057 MI Primary

Addresses

Primary practice location

24060 W 9 Mile Rd
Southfield, MI 48034-3904

Mailing address

PO Box 38005
Detroit, MI 48238-0005
Phone (248) 356-5900

Other identifiers 2

IdentifierTypeStateIssuer
13-4740844MedicaidMI
4856313260OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000563 MI Part B Supplier - Clinic/Group Practice 4082640214 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI; Southfield, MI

National Provider Directory

National Provider Directory

Locations

15843 W 7 Mile Rd
Detroit, MI 48235
Phone (248) 540-0092

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1518173137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38005",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482380005",
            "telephone_number": "248-356-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24060 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343904",
            "telephone_number": "248-356-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEER DEEN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "MEER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-356-5900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "MD001057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13-4740844",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4856313260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.