Individual provider Active NPI

Mohammed Qintar, M.D.

  • Interventional Cardiology Physician
  • Lansing, MI
National Provider Identifier
1649530445
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301501341 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(913) 271-6163
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301501341 MI
Interventional Cardiology Physician 207RI0011X 4301501341 MI Primary
Internal Medicine Physician 207R00000X 4301501341 MI
Internal Medicine Physician 207R00000X 57020727 OH
Cardiovascular Disease Physician 207RC0000X 2015021640 MO

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (913) 271-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200508001441 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8527360882 Reassigns benefits to 3 organizations
I20260609003691 KY Practitioner - Interventional Cardiology 8527360882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3826
Phone (270) 575-3113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57020727OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Apr 28, 2020 Accepting new patients
Edward W Sparrow Hospital Association Cardiovascular Disease CurrentSince Apr 1, 2021 Accepting new patients
Henry Ford Health System Cardiovascular Disease CurrentSince Apr 28, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Heart & Vascular Institute of Mi P.C. Cardiovascular Disease CurrentSince Aug 14, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2021 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

102 S 3rd St
Carson City, MI 48811
Phone (989) 584-1308

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

2340 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 667-7333

2342 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 667-7333

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550

1075 Suncrest Dr
Ste C
Lapeer, MI 48446
Phone (810) 538-2015

Organizations & group practices 8

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.

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1649530445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "913-271-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "913-271-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QINTAR",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301501341",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301501341",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301501341",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57020727",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2015021640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.