Individual provider Active NPI

Narin Tanir-Avci, M.D.

  • Internal Medicine Physician
  • Clarkston, MI
National Provider Identifier
1598733693
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060849 Issued in MI
Practice address
5905 S Main St
Suite 2
Clarkston, MI 48346-2990
Phone
(248) 620-3700
Fax
(248) 620-0228
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060849 MI Primary

Addresses

Primary practice location

5905 S Main St
Suite 2
Clarkston, MI 48346-2990

Mailing address

5905 S Main St
Suite 2
Clarkston, MI 48346-2990
Phone (248) 620-3700

Other identifiers 1

IdentifierTypeStateIssuer
3465520MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000096 MI Practitioner - Internal Medicine 8426155417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6080 Dixie Hwy
Suite B
Clarkston, MI 48346-3493
Phone (248) 620-3700

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tanir Medical Center PC CurrentSince Aug 1, 1998 Accepting new patients
St Joseph Mercy Hospital-SMHC Past Accepting new patients

Locations

6080 Dixie Hwy
Ste B
Clarkston, MI 48346
Phone (248) 620-3700

5905 S Main St
Ste 2
Clarkston, MI 48346
Phone (248) 620-3700

Interoperability endpoints

  • Direct secure messaging: ntaniravci32436@direct.trinity-health.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1598733693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462990",
            "telephone_number": "248-620-3700",
            "fax_number": "248-620-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462990",
            "telephone_number": "248-620-3700",
            "fax_number": "248-620-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIR-AVCI",
        "first_name": "NARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3465520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.