Organization Active NPI

Nafisa Kuwajerwala MD PLLC

  • Surgery Physician
  • Novi, MI
National Provider Identifier
1568951408
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301077575 Issued in MI
Legal business name
NAFISA KUWAJERWALA MD PLLC
Practice address
26850 Providence Pkwy Ste 504
Novi, MI 48374-1267
Phone
(248) 662-4333
Fax
(248) 662-3022
NPI assigned
May 7, 2018
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Nafisa Kuwajerwala, MDNPI 1063450658
Title
Provider
Phone
(248) 662-4333

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 4301077575 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 504
Novi, MI 48374-1267

Mailing address

26850 Providence Pkwy Ste 504
Novi, MI 48374-1267
Phone (248) 662-4333

Other identifiers 1

IdentifierTypeStateIssuer
4301077575OtherMILICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180801000129 MI Part B Supplier - Clinic/Group Practice 7012265580 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1568951408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 504",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741267",
            "telephone_number": "248-662-4333",
            "fax_number": "248-662-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 504",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741267",
            "telephone_number": "248-662-4333",
            "fax_number": "248-662-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAFISA KUWAJERWALA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "KUWAJERWALA",
        "authorized_official_first_name": "NAFISA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "248-662-4333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301077575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301077575",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.