Individual provider Active NPI

Adnan Munkarah, M.D.

  • Gynecologic Oncology Physician
  • Detroit, MI
National Provider Identifier
1629166582
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
4301406838 Issued in MI
Practice address
2799 W Grand Blvd
Henry Ford Hospital, K Building- 9TH Floor
Detroit, MI 48202-2608
Phone
(313) 916-2465
Fax
(313) 916-1025
NPI assigned
Oct 10, 2006
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 4301406838 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Henry Ford Hospital, K Building- 9TH Floor
Detroit, MI 48202-2608

Mailing address

3031 W Grand Blvd
New Center One, 7TH Floor, Women's Health Department
Detroit, MI 48202-3046
Phone (313) 916-2493

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
I20050323001122 MI Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 4587610464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Gynecologic Oncology CurrentSince Sep 1, 2008 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2008 Accepting new patients
Harper Hutzel Hospital Past Accepting new patients
University Women's Care, Inc Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
Bldg 9TH
Detroit, MI 48202
Phone (313) 916-2465

3031 W Grand Blvd
Ste 1
Detroit, MI 48202

Interoperability endpoints

  • Direct secure messaging: amunkarah17004@direct.hfhs.org

Organizations & group practices 5

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 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1629166582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W GRAND BLVD",
            "address_2": "NEW CENTER ONE, 7TH FLOOR, WOMEN'S HEALTH DEPARTMENT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023046",
            "telephone_number": "313-916-2493",
            "fax_number": "313-916-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "HENRY FORD HOSPITAL, K BUILDING- 9TH FLOOR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2465",
            "fax_number": "313-916-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNKARAH",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "4301406838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.