Organization Active NPI

Akhtar Husain, MD PC

  • Surgery Physician
  • Riverview, MI
National Provider Identifier
1689903130
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301088891 Issued in MI
Legal business name
AKHTAR HUSAIN, MD PC
Practice address
14720 King Rd
Suite B
Riverview, MI 48193-7945
Phone
(734) 675-1150
Fax
(734) 675-1173
NPI assigned
Dec 11, 2009
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Akhtar Husain, M.D.NPI 1093704868
Title
President
Phone
(734) 675-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301088891 MI Primary

Addresses

Primary practice location

14720 King Rd
Suite B
Riverview, MI 48193-7945

Mailing address

14720 King Rd
Suite B
Riverview, MI 48193-7945
Phone (734) 675-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000541 MI Part B Supplier - Clinic/Group Practice 3577604990 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, MI

National Provider Directory

National Provider Directory

Locations

14270 King Rd
Ste B
MI 48193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1689903130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 KING RD",
            "address_2": "SUITE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937945",
            "telephone_number": "734-675-1150",
            "fax_number": "734-675-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14720 KING RD",
            "address_2": "SUITE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937945",
            "telephone_number": "734-675-1150",
            "fax_number": "734-675-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKHTAR HUSAIN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "AKHTAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-675-1150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301088891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.