Individual provider Active NPI

Muhanad Taha, MD

  • Pulmonary Disease Physician
  • Jackson, MI
National Provider Identifier
1679005037
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301500805 Issued in MI
Practice address
900 E Michigan Ave
Jackson, MI 49201-2457
Phone
(517) 782-3190
NPI assigned
Apr 3, 2017
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301500805 MI
Pulmonary Disease Physician 207RP1001X 4301500805 MI Primary

Addresses

Primary practice location

900 E Michigan Ave
Jackson, MI 49201-2457

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

4201 Saint Antoine St
Suite 2E
Detroit, MI 48201-2153
Phone (313) 745-4832

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
I20240123000593 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6204103195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Care Solutions PCGroup PAC ID 3678903465, 23 clinicians
Pulmonary Clinics of Southern MichiganGroup PAC ID 4284681784, 6 clinicians

Practice addresses (Care Compare)

101 W Big Beaver Rd
Suite 1400
Troy, MI 48084-5295
Phone (586) 343-1022

205 N E Ave
Jackson, MI 49201-1753
Phone (517) 205-4800

451 Hidden Meadows Dr
Suite 230
Hillsdale, MI 49242-9812
Phone (517) 437-8366

900 E Michigan Ave
Suite 105
Jackson, MI 49201-2490
Phone (517) 782-3190

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301500805MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Mar 15, 2024 Accepting new patients
Physician Care Solutions P.C. CurrentSince Feb 23, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Pulmonary Disease CurrentSince Jan 2, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jan 2, 2024 Accepting new patients
Hillsdale Community Health Center Pulmonary Disease CurrentSince Mar 15, 2024 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Pulmonary Clinics of Southern Michigan Critical Care Medicine CurrentSince Jun 27, 2024 Accepting new patients
W.a. Foote Memorial Hospital Past Accepting new patients
Hillsdale Community Health Center Past Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

451 Hidden Meadows Dr
Hillsdale, MI 49242
Phone (517) 437-0010

451 Hidden Meadows Dr
Ste 230
Hillsdale, MI 49242
Phone (517) 437-2637

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

900 E Michigan Ave
Jackson, MI 49201
Phone (517) 782-3190

900 E Michigan Ave
Ste 1
Jackson, MI 49201
Phone (517) 788-7866

900 E Michigan Ave
Ste 105
Jackson, MI 49201
Phone (517) 782-3190

101 W Big Beaver Rd
Ste 1400
Troy, MI 48084
Phone (248) 781-0981

Interoperability endpoints

  • Direct secure messaging: mtaha946850@direct.hfhs.org

Organizations & group practices 9

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 3

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1679005037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012457",
            "telephone_number": "517-782-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_2": "Suite 2E",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-745-4832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHA",
        "first_name": "MUHANAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301500805",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301500805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.