Individual provider Active NPI

Mohammad Tariq Yasin Kang, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
National Provider Identifier
1598904690
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301083859 Issued in MI
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

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000469 MI Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospitalist 5092859124 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
B N Nandish MD PC IncGroup PAC ID 9830100635, 3 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

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

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation CurrentSince Jan 1, 2025 Accepting new patients
BN Nandish MD PC Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Iha Health Services Corporation CurrentSince Jan 1, 2025 Accepting new patients
Reliance Hospitalists PLLC Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
University Physician Group Internal Medicine CurrentSince Jan 1, 2010 Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine CurrentSince Oct 27, 2012 Accepting new patients
University Physician Group CurrentSince Jan 1, 2010 Accepting new patients
VHS Physicians of Michigan Internal Medicine CurrentSince Mar 31, 2019 Accepting new patients
Michigan Emergency Services CurrentSince Jul 29, 2013 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Dec 21, 2019 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

  • Direct secure messaging: mkang32550@direct.trinity-health.org
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.