NPIMap

Individual provider Active NPI

Adam Hafeez, MD

  • Cardiovascular Disease Physician
  • Southgate, MI
National Provider Identifier
1598112344
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301508734 Issued in MI
Practice address
15150 Fort St
Southgate, MI 48195-1302
Phone
(734) 282-4800
Fax
(734) 282-9302
NPI assigned
May 23, 2016
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301508734 MI Primary

Addresses

Primary practice location

15150 Fort St
Southgate, MI 48195-1302

Mailing address

15150 Fort St
Southgate, MI 48195-1302
Phone (734) 282-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516000596 MI Practitioner - Interventional Cardiology 7416249719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Heart and Vascular Specialists, PCGroup PAC ID 2062416522, 8 clinicians
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, shared by 9 NPIs, 194 clinicians

Practice addresses (Care Compare)

15150 Fort St
Southgate, MI 48195-1302
Phone (734) 282-4800

2070 Biddle Ave
Wyandotte, MI 48192-4080

23050 W Rd
Brownstown TWP, MI 48183-1470

23050 W Rd
Brownstown TWP, MI 48183-1472
Phone (734) 287-9880

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair1-10
Varicose vein removal12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301508734MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Heart and Vascular Specialists PC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Sep 23, 2023 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Henry Ford Wyandotte Hospital Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Sep 23, 2023 Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

15150 Fort St
Southgate, MI 48195
Phone (734) 282-4800

15150 Fort St
Spc Pc
Southgate, MI 48195
Phone (734) 282-4800

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: ahafeez285058@direct.hfhs.org

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1598112344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951302",
            "telephone_number": "734-282-4800",
            "fax_number": "734-282-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951302",
            "telephone_number": "734-282-4800",
            "fax_number": "734-282-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301508734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.