Individual provider Active NPI

Simran Kaur, M.D.

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1649406349
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094447 Issued in MI
Practice address
4 Columbus Ave Ste 380
Bay City, MI 48708-6476
Phone
(989) 393-2700
Fax
(989) 894-6020
NPI assigned
Jun 9, 2009
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094447 MI Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301094447 MI

Addresses

Primary practice location

4 Columbus Ave Ste 380
Bay City, MI 48708-6476

Mailing address

4 Columbus Ave Ste 380
Bay City, MI 48708-6476
Phone (989) 393-2700

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
I20130808000405 MI Practitioner - Family Practice 3274775952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

33720 Harper Ave
Clinton Township, MI 48035-4255
Phone (586) 294-5210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094447MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

21510 Harrington St
Ste 202
Clinton Twp, MI 48036
Phone (586) 791-5250

33720 Harper Ave
Clinton Twp, MI 48035
Phone (586) 268-2113

36539 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-8877

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

37400 Garfield Rd
Ste 200
Clinton Twp, MI 48036
Phone (586) 263-5220

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

Organizations & group practices 3

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 6

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1649406349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 380",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086476",
            "telephone_number": "989-393-2700",
            "fax_number": "989-894-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 380",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086476",
            "telephone_number": "989-393-2700",
            "fax_number": "989-894-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SIMRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094447",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301094447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.