NPIMap

Individual provider Active NPI

Asim Haque, M.D., PH.D.

  • Neurology Physician
  • Columbia, MD
National Provider Identifier
1710202650
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301097087 Issued in MI
Practice address
10275 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3445
Phone
(888) 464-2466
Fax
(410) 740-1518
NPI assigned
Apr 4, 2010
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 53723 MI
Neurology Physician 2084N0400X 93524 GA
Neurology Physician 2084N0400X 4301097087 MI Primary

Addresses

Primary practice location

10275 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3445

Mailing address

10275 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3445
Phone (888) 464-2466

Other practice location 1

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150528000147 MI Practitioner - Neurology 1951621200 Reassigns benefits to 2 organizations
I20171114003018 TX Practitioner - Neurology 1951621200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Mississippi School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4460 Oak River Dr NE
Grand Rapids, MI 49525-9341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93524GAMDNeurology Physician
4301097087MIMDNeurology Physician
53723MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. Neurology CurrentSince Feb 1, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Mar 1, 2023 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Oct 13, 2017 Accepting new patients
Midwest Neuromonitoring Associates, PLLC Neurology CurrentSince Jul 25, 2022 Accepting new patients
Msu Health Care Inc. CurrentSince Feb 1, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Neurology CurrentSince Mar 1, 2023 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Msu Health Care Inc. Past Accepting new patients
Livi Medical Services LLC PastSince Aug 26, 2024 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

8175 Reliable Pkwy
Chicago, IL 60686

10275 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (734) 545-4420

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Organizations & group practices 11

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 6

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": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1710202650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 LITTLE PATUXENT PKWY STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443445",
            "telephone_number": "888-464-2466",
            "fax_number": "410-740-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10275 LITTLE PATUXENT PKWY STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443445",
            "telephone_number": "888-464-2466",
            "fax_number": "410-740-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121811",
            "country_code": "US",
            "telephone_number": "517-364-1000",
            "fax_number": "517-432-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "ASIM",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-04",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "53723",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "93524",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301097087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.