Omar Imtiaz Ahmad, M.D.

Individual provider Active NPI Neurology Physician · Taylor, MI

NPI 1568623643 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1568623643
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Physician 2084N0400X
License
4301092682 (MI)
Practice address
11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862
Phone
(734) 374-1112
Fax
(734) 374-1119
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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

Medicare Care Compare profile

Specialty
Neurology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neuroscience Clinic PLLC (6 clinicians)

Practice addresses (Care Compare)

730 N Macomb St
Monroe, MI 48162-2904
Phone (734) 374-1112

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital · Dearborn, MI · CCN 230020
  • Beaumont Hospital - Taylor Hospital · Taylor, MI · CCN 230270
  • Corewell Health Wayne Hospital Hospital · Wayne, MI · CCN 230142
  • Wyandotte Hospital and Medical Center Hospital · Wyandotte, MI · CCN 230146
  • Corewell Health Trenton Hospital Hospital · Trenton, MI · CCN 230176

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100 (group)
Quality
67.12
Improvement activities
40
Cost
88.53

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130109000619 MI Practitioner - Neurology 2567615123 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301092682MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neuroscience Clinic PLLC Neurology Current
since Nov 1, 2013
Accepting new patients

Locations

730 N Macomb St
Ste 300
Monroe, MI 48162
Phone (734) 235-5296

12701 Telegraph Rd
Ste 210
Taylor, MI 48180
Phone (734) 251-3432

11780 Telegraph Rd
Ste 100
Taylor, MI 48180
Phone (734) 374-1112

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAICA
  • Direct secure messaging: oahmad8894@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301092682 MI Yes

Addresses

Primary practice location

11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862

Mailing address

PO Box 86
Taylor, MI 48180-0001
Phone (734) 374-1112

Other identifiers

IdentifierTypeStateIssuer
MI7264001OtherMIMEDICARE LOCALITY 99

Other providers in Taylor, MI

All providers in Taylor, MI · Neurology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.