Active NPI
Mohammad Tariq Yasin Kang, MD
- Geriatric Medicine (Internal Medicine) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301083859
- Practice address
- DRH Rosa Parks Wellness Institute for Sr Health
4201 St Antoine Ste 5B
Detroit, MI 48201-2153 - Phone
- (313) 745-1741
- Fax
- (313) 745-8165
- NPI assigned
- Feb 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301083859 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301083859 | MI | Primary |
Addresses
Primary practice location
DRH Rosa Parks Wellness Institute for Sr Health
4201 St Antoine Ste 5B
Detroit, MI 48201-2153
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9006
Other practice location 1
26677 W 12 Mile Rd # B6
Southfield, MI 48034-1514
Phone (248) 354-4709
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (888) 264-0102
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Current | Accepting new patients | |
| BN Nandish MD PC Inc | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Reliance Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Academic Internal Medicine Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Current | Accepting new patients | |
| VHS Physicians of Michigan | Internal Medicine | Current | Accepting new patients |
| Michigan Emergency Services | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| Outer Drive Partners LLC | Past | Accepting new patients | |
| VHS Detroit Receiving Hospital Inc | Past | Accepting new patients | |
| St Mary Mercy Hospital | Past | Accepting new patients |
Locations
43902 Woodward Ave
Ste 100
Bloomfld Hls, MI 48302
Phone (248) 724-2643
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300
4201 Saint Antoine St
Ste 5B
Detroit, MI 48201
Phone (313) 745-1741
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
14555 Levan Rd
Ste 308
Livonia, MI 48154
Phone (734) 288-3370
29667 Wentworth St
Livonia, MI 48154
Phone (734) 261-9000
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
26677 W 12 Mile Rd
Ste B6
Southfield, MI 48034
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
26677 W 12 Mile Rd
#B6
Southfield, MI 48034
Phone (248) 354-4709
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- mkang32550@direct.trinity-health.org
- mtkang@direct.dmc.org
Organizations & group practices 16
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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1346398971
-
- Medical Toxicology (Emergency Medicine) Physician
- Detroit, MI
- NPI 1316968191
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1588105274
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Hospitalist
- Hospitalist Physician
- Ypsilanti, MI
- NPI 1306121405
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Internal Medicine
-
dba Wayne State University Physician Group
- Occupational Therapist
- Dearborn, MI
- NPI 1851630206
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Marine City, MI
- NPI 1245220359
-
dba Hartford Nursing & Rehab Center
- Skilled Nursing Facility
- Detroit, MI
- NPI 1477550564
Nursing home
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1598904690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136",
"telephone_number": "313-448-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH",
"address_2": "4201 ST ANTOINE STE 5B",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-1741",
"fax_number": "313-745-8165"
}
],
"practiceLocations": [
{
"address_1": "26677 W 12 Mile Rd # B6",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341514",
"country_code": "US",
"telephone_number": "248-354-4709",
"fax_number": "248-354-4807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "MOHAMMAD",
"middle_name": "TARIQ YASIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-12",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301083859",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301083859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.