Umayr Azimi MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

UMAYR AZIMI MD PLLC

Doing business as

MI Express Primary Care

Practice address

44237 Michigan Ave
Canton, MI 48188-2866

Phone

(734) 333-9001

NPI assigned

May 27, 2019

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Umayr Azimi, MDNPI 1083054902

Title

Owner

Phone

(734) 276-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MI Express Primary Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Umayr Azimi, M.D.

  • Internal Medicine Physician
  • Canton, MI
  • NPI 1083054902
  Medicare reassignment Care Compare group NPD Authorized official
• Abigayle Monson Ellison, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Royal Oak, MI
  • NPI 1528710464
  Medicare reassignment Care Compare group NPD
• Lyla Makled, DNP, FNP-BC

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1487338166
  Medicare reassignment NPD
• Reina Brojan Pearson, MS,FNP-C

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1457754533
  Medicare reassignment NPD
• Elizabeta Zlojutro, MSN FNP-C

  • Primary Care Nurse Practitioner
  • Washington, MI
  • NPI 1346889185
  Medicare reassignment NPD
• Judd Koujane, PA-C

  • Physician Assistant
  • Ypsilanti, MI
  • NPI 1629782347
  Medicare reassignment
• Jessica Lytle, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1730338807
  Medicare reassignment
• Julia Gage, FNP-BC

  • Family Nurse Practitioner
  • Shelby Township, MI
  • NPI 1780353862
  NPD
• Nusrat Qayyum, PA-C

  • Physician Assistant
  • Midland, MI
  • NPI 1598091134
  NPD (past)

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1609433549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44237 MICHIGAN AVE STE B",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882866",
            "telephone_number": "734-333-9001",
            "fax_number": "734-333-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44237 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882866",
            "telephone_number": "734-333-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 S Zeeb Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481036058",
            "country_code": "US",
            "telephone_number": "734-272-0063",
            "fax_number": "833-905-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UMAYR AZIMI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "AZIMI",
        "authorized_official_first_name": "UMAYR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-276-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083054902",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fax@miexpresscare.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "WRJ & Associates PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "44237 Michigan Ave",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481882866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MI Express Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MI Express Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.