NPIMap

Individual provider Active NPI

Hooman Agha, M.D.

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1699745596
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
HA079451 Issued in MI
Practice address
15604 Farmington Rd
Livonia, MI 48154-2852
Phone
(734) 855-4176
Fax
(734) 855-4178
NPI assigned
Jan 24, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X HA079451 MI Primary

Addresses

Primary practice location

15604 Farmington Rd
Livonia, MI 48154-2852

Mailing address

15604 Farmington Rd
Livonia, MI 48154-2852
Phone (734) 855-4176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329000530 MI Practitioner - Internal Medicine 2860384302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15604 Farmington Rd
Livonia, MI 48154-2852
Phone (734) 855-4176

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HA079451MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agha Internal Medicine Associates PC Internal Medicine CurrentSince May 1, 2004 Accepting new patients
Nova Medica PLLC Internal Medicine Current Accepting new patients
Med Share Inc Past Accepting new patients
Norlivo Internal Medicine PLLC Internal Medicine PastSince Jan 1, 2009 Accepting new patients

Locations

15604 Farmington Rd
Livonia, MI 48154
Phone (248) 478-1100

20331 Farmington Rd
Livonia, MI 48152
Phone (248) 474-5601

20331 Farmington Rd
Ste 103
Livonia, MI 48152
Phone (248) 478-1100

1651 S Venoy Rd
Westland, MI 48186
Phone (313) 663-9000

Interoperability endpoints

  • Direct secure messaging: hagha1159194@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGAHCA/Endpoint/JGAHCA

Organizations & group practices 4

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1699745596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542852",
            "telephone_number": "734-855-4176",
            "fax_number": "734-855-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542852",
            "telephone_number": "734-855-4176",
            "fax_number": "734-855-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "HOOMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "HA079451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.