Individual provider Active NPI

Gerald Daneshvar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hamtramck, MI
National Provider Identifier
1548427164
Registry record updated Jun 23, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301081745 Issued in MI
Practice address
10005 Joseph Campau St
Hamtramck, MI 48212-3221
Phone
(313) 782-4098
Fax
(313) 782-4977
NPI assigned
May 21, 2008
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301081745 MI Primary

Addresses

Primary practice location

10005 Joseph Campau St
Hamtramck, MI 48212-3221

Mailing address

3425 Lone Pine Rd
West Bloomfield, MI 48323-3327
Phone (734) 657-6317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hartland Urgent Care PLLC Past Accepting new patients
Adrian Urgent Care PLLC PastSince Aug 23, 2016 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Fuad Khaznehkatbi MD PC PastSince Jun 11, 2014 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1548427164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 LONE PINE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233327",
            "telephone_number": "734-657-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123221",
            "telephone_number": "313-782-4098",
            "fax_number": "313-782-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHVAR",
        "first_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301081745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.