NPIMap

Individual provider Active NPI

Mohammad Muhsin Chisti, MD

  • Hematology & Oncology Physician
  • Troy, MI
National Provider Identifier
1598911448
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301095965 Issued in MI
Practice address
44199 Dequindre Rd Ste G-10
Troy, MI 48085-1128
Phone
(248) 964-6111
Fax
(248) 964-1464
NPI assigned
Aug 12, 2008
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4301095965 MI
Hematology & Oncology Physician 207RH0003X 4301095965 MI Primary

Addresses

Primary practice location

44199 Dequindre Rd Ste G-10
Troy, MI 48085-1128

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

43097 Woodward Ave
Suite 100
Bloomfield Hills, MI 48302-5041
Phone (248) 334-0050

Other practice location 2

44344 Dequindre Rd Ste 330
Sterling Heights, MI 48314-1040
Phone (248) 964-1460

Other practice location 3

3581 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone (248) 551-3300

Other practice location 4

3577 W 13 Mile Rd Ste 101
Royal Oak, MI 48073-6710
Phone (248) 551-8651

Other names 1

  • Dr. Mohammad Muhsin Chisti Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchisti38410@direct.beaumont.edu

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
I20130730000208 MI Practitioner - Hematology/Oncology 1658512959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center
Royal Oak, MI 48073-6710
Phone (248) 551-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

44199 Dequindre Rd
Troy, MI 48085-1128

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301095965MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Nov 19, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients
William Beaumont Hospital General Acute Care Hospital Past Accepting new patients
William Beaumont Hospital General Acute Care Hospital Past Accepting new patients
Prem Khilanani MD PC Hematology & Oncology Past Accepting new patients
William Beaumont Hospital General Acute Care Hospital Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3577 W 13 Mile Rd
Ste 101
Royal Oak, MI 48073
Phone (248) 551-0360

3581 W 13 Mile Rd
Ste Bcc
Royal Oak, MI 48073
Phone (248) 551-3300

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

44344 Dequindre Rd
Ste 330
Sterling Heights, MI 48314
Phone (248) 964-1460

44199 Dequindre Rd
#G10
Troy, MI 48085
Phone (248) 964-6111

44199 Dequindre Rd
Ste G10
Troy, MI 48085
Phone (248) 564-6111

Interoperability endpoints

  • Direct secure messaging: mchisti1228761@epic00.shdirect.org
  • Direct secure messaging: mchisti38410@direct.beaumont.edu

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1598911448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD STE G-10",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-6111",
            "fax_number": "248-964-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43097 Woodward Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483025041",
            "country_code": "US",
            "telephone_number": "248-334-0050",
            "fax_number": "248-334-1368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44344 Dequindre Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141040",
            "country_code": "US",
            "telephone_number": "248-964-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3581 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736710",
            "country_code": "US",
            "telephone_number": "248-551-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3577 W 13 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736710",
            "country_code": "US",
            "telephone_number": "248-551-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISTI",
        "first_name": "MOHAMMAD",
        "middle_name": "MUHSIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4301095965",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301095965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchisti38410@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44199 Dequindre Rd Ste G-10",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOHAMMAD MUHSIN",
            "last_name": "CHISTI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.