Individual provider Active NPI

Nader Hasan Tashtoush, M.D.

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1689912552
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301103048 Issued in MI
Practice address
3990 John R St
5 Hudson, Room 5910
Detroit, MI 48201-2018
Phone
(313) 745-9649
Fax
(313) 993-0302
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301103048 MI Primary

Addresses

Primary practice location

3990 John R St
5 Hudson, Room 5910
Detroit, MI 48201-2018

Mailing address

1560 E Maple Rd
Troy, MI 48083-1135
Phone (248) 581-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, CA, NV4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180627002295 AZ Practitioner - Critical Care (Intensivists) 8022319128 Reassigns benefits to 2 organizations
I20191106000916 TX Practitioner - Critical Care (Intensivists) 8022319128 Reassigns benefits to 2 organizations
I20191226000927 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Infectious Disease 8022319128 Reassigns benefits to 1 organization
I20230925003342 NV Practitioner - Critical Care (Intensivists) 8022319128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone (903) 614-5110

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103048MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Intensivists of Arizona, Inc Multi-Specialty CurrentSince Apr 30, 2024 Accepting new patients
Inpatient Specialists of California, PC Multi-Specialty CurrentSince Feb 17, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Multi-Specialty CurrentSince Sep 1, 2019 Accepting new patients
Tucson Physician Group Holdings, LLC Multi-Specialty CurrentSince Oct 18, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Multi-Specialty CurrentSince Nov 5, 2022 Accepting new patients
Sound Intensivists of Nevada Rbessler MD PLLC Multi-Specialty CurrentSince Aug 21, 2023 Accepting new patients
SMSJ Tucson Holdings LLC Multi-Specialty Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: ntashtoush331075@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 7

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 2

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1689912552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-581-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "address_2": "5 HUDSON, ROOM 5910",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-9649",
            "fax_number": "313-993-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASHTOUSH",
        "first_name": "NADER",
        "middle_name": "HASAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.