Organization Active NPI

Osama Qaqi MD PLLC

  • Cardiovascular Disease Physician
  • Detroit, MI
National Provider Identifier
1538765128
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OSAMA QAQI MD PLLC
Doing business as
Detroit Cardiovascular Institute
Practice address
7633 E Jefferson Ave Ste 200
Detroit, MI 48214-3732
Phone
(313) 889-5100
Fax
(313) 889-5101
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Osama Qaqi, MD
Title
Owner
Phone
(313) 889-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

7633 E Jefferson Ave Ste 200
Detroit, MI 48214-3732

Mailing address

7633 E Jefferson Ave Ste 200
Detroit, MI 48214-3732
Phone (313) 889-5100

Other identifiers 1

IdentifierTypeStateIssuer
1508094210MedicaidMI

Other names 1

  • Detroit Cardiovascular Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1538765128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143732",
            "telephone_number": "313-889-5100",
            "fax_number": "313-889-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143732",
            "telephone_number": "313-889-5100",
            "fax_number": "313-889-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAMA QAQI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "QAQI",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-889-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508094210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Cardiovascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.