Ted Robert Naman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301068485 Issued in MI

Practice address

911 E 9 Mile Rd
Ferndale, MI 48220-1934

Phone

(248) 336-4000

Fax

(248) 336-9137

NPI assigned

Mar 6, 2006

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Takalub Edward Naman Former name

Medicare fee-for-service enrollment

Enrolled in MI, IL2 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 2

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Wayne State University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ted.naman.1@33060.direct.athenahealth.com
• Direct secure messaging: tednaman@epicpc.allscriptsdirect.net
• Direct secure messaging: tnaman@direct.dmc.org
• Direct secure messaging: tnaman1142673@direct.hfhs.org
• Direct secure messaging: tnaman557430@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.

• Exclusive Physicians PLLC

  • Multi-Specialty Clinic/Center
  • Ferndale, MI
  • NPI 1811226749

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Exclusive Physicians - Illinois PLLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1346055365
  Medicare reassignment NPD (past)
• Epic Care Centers Inc

  • Family Medicine Physician
  • Hamtramck, MI
  • NPI 1659145506
  Medicare reassignment
• Advanced Sleep Labs, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Ferndale, MI
  • NPI 1174568471
  NPD (past) Authorized official
• Epic Primary Care III PLLC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1275920084
  Authorized official Same address or phone
• Exclusive Physicians- New Jersey LLC

  • Family Medicine Physician
  • Mays Landing, NJ
  • NPI 1740192665
  Authorized official Same address or phone
• Exclusive Physicians Group, PLLC

  • Specialist
  • Ferndale, MI
  • NPI 1558439141
  NPD

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1730156050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201934",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201934",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21174 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482193929",
            "country_code": "US",
            "telephone_number": "313-861-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18463 Livernois Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482212254",
            "country_code": "US",
            "telephone_number": "313-861-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMAN",
        "first_name": "TED",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301068485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "1106337422",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730156050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN IND",
            "identifier": "1106337422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKALUB",
            "last_name": "NAMAN",
            "middle_name": "EDWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Suzanne Mull, CNM
• Alejandra Andrea Munoz, MD
• Katie Ryan Myers, LLMSW
• Bilal Nahle
• Greg S Naman, MD
• Carrie Ann-Fling Nantais, PH.D., M.DIV.
• Angela Nappo
• Natalie Lafehr Consulting PLLC
• Natures Playhouse Ferndale LLC
• Jami Neuens, CRNA

• Internal Medicine Physician in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.