Individual provider Active NPI

Humaira Fahim, M.D.

  • Neurology Physician
  • Detroit, MI
National Provider Identifier
1689805087
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301088883 Issued in MI
Practice address
4201 Saint Antoine St # St8A
Detroit, MI 48201-2153
Phone
(313) 577-1242
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301088883 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St # St8A
Detroit, MI 48201-2153

Mailing address

4511 Sherwood Cir
Canton, MI 48188-2217
Phone (734) 495-1552

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
I20120124000088 MI Practitioner - Neurology 8628245248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Neurology CurrentSince Jun 1, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 1, 2020 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
W. a. Foote Memorial Hospital, Inc. Neurology Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Neurology CurrentSince Jun 1, 2020 Accepting new patients
Henry Ford Health System CurrentSince Jun 1, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 1, 2020 Accepting new patients
Wayne Neurology PLC Neurology CurrentSince Dec 1, 2011 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

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

2799 W Grand Blvd
Ste K11
Detroit, MI 48202
Phone (313) 916-7205

2799 W Grand Blvd
#K11
Detroit, MI 48202
Phone (313) 916-2241

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

1201 E Michigan Ave
Ste 240
Jackson, MI 49201
Phone (517) 205-1591

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

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

34815 W Michigan Ave
Ste C
Wayne, MI 48184
Phone (734) 721-4739

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: hfahim646026@direct.hfhs.org

Organizations & group practices 12

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 4

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1689805087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SHERWOOD CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882217",
            "telephone_number": "734-495-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # ST8A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIM",
        "first_name": "HUMAIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301088883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.