Tahera Azharuddin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301089681 Issued in MI

Practice address

15717 15 Mile Rd
Clinton Township, MI 48035-2101

Phone

(586) 285-3800

NPI assigned

Jan 22, 2008

Last updated

Dec 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, TX, CA3 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 3

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tahera.azharuddin@168064768409604.direct.elationemr.com
• Direct secure messaging: tazharuddin225816@direct.hfhs.org

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.

• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Family Medicine

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1134265986
  Medicare reassignment NPD
• Rochester Family Medicine PC

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1538590583
  Authorized official Same address or phone
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Health Centers - Bruce Twp./Chesterfield/Fraser

  • Urgent Care Clinic/Center
  • Bruce, MI
  • NPI 1568508059

  Family Medicine

  NPD
• Form Health Associates Ma, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Boston, MA
  • NPI 1386260594

  Family Medicine

  NPD
• Marcus Zachary, D.O., P.C.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1710592621
  NPD
• McLaren Flint

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1154469229
  NPD (past)
• McLaren Flint

  • General Practice Physician
  • Flint, MI
  • NPI 1275807372

  Family Medicine

  NPD (past)
• McLaren Flint

  • Social Worker
  • Flint, MI
  • NPI 1356480685
  NPD (past)
• Form Health Associates, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bakersfield, CA
  • NPI 1043835044

  Family Medicine

  NPD (past)
• Form Health Associates, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bakersfield, CA
  • NPI 1801615752

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1720265754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 BABCOCK DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841325",
            "telephone_number": "248-915-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352101",
            "telephone_number": "586-285-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHARUDDIN",
        "first_name": "TAHERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301089681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ayers, MD
• Ayman Tarabishy MD PLLC (Enhance Center for Interventional Spine and Sports)
• Ethel Egbua Ayorinde, R.N.
• Jennifer Ayotte, LLMSW
• Fatime Ayoub, MD
• B-Heard Transport
• Christina M Bacho, D.D.S.
• Baddigam Family Psychiatric Associates PLLC
• Heather R Bade, LMSW
• Hanna Badke, PA-C

• Family Medicine Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.