NPIMap

Individual provider Active NPI

Mohammad Irfan, MD

  • Psychiatry Physician
  • Westland, MI
National Provider Identifier
1568482503
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301069586 Issued in MI
Practice address
30901 Palmer Rd
Westland, MI 48186-9529
Phone
(734) 367-8403
Fax
(734) 722-9524
NPI assigned
Jul 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301069586 MI Primary

Addresses

Primary practice location

30901 Palmer Rd
Westland, MI 48186-9529

Mailing address

3120 Birchwood Dr
Ann Arbor, MI 48105-9266
Phone (734) 930-9663

Other identifiers 4

IdentifierTypeStateIssuer
1508883299OtherMIWRPH
MI069586OtherMILICENSE
4867360MedicaidMI
260Q26259OtherMIBCBSM GR#

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Circle Corporation Psychiatry PastSince Feb 14, 2011 Accepting new patients
Intervention Network Inc. Past Accepting new patients
At Home Visiting Physicians PC Past Accepting new patients
Hegira Health, Inc. Past Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients

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, 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568482503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BIRCHWOOD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059266",
            "telephone_number": "734-930-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30901 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869529",
            "telephone_number": "734-367-8403",
            "fax_number": "734-722-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRFAN",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301069586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRPH",
            "identifier": "1508883299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MI069586",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4867360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GR#",
            "identifier": "260Q26259",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.