Active NPI
Ramdeep Kaur Mann, AGPCNP
- Primary Care Nurse Practitioner
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704243179
- Practice address
- 18888 Bayberry Way
Northville, MI 48168-6815 - Phone
- (678) 360-7810
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704243179 | MI | Primary |
Addresses
Primary practice location
18888 Bayberry Way
Northville, MI 48168-6815
Mailing address
18888 Bayberry Way
Northville, MI 48168-6815
Phone (678) 360-7810
Other practice location 1
18888 Bayberry Way
Northville, MI 48168-6815
Phone (678) 360-7810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
Hospital & facility affiliations
- Henry Ford Health West Bloomfield Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704243179 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Nurse Practitioner | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Fadi Salloum MD PC | Current | Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients | |
| Telemed Consultants PLLC | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- rmann502506@direct.hfhs.org
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1053510446
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1699398347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1730664129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18888 BAYBERRY WAY",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481686815",
"telephone_number": "678-360-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18888 BAYBERRY WAY",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481686815",
"telephone_number": "678-360-7810"
}
],
"practiceLocations": [
{
"address_1": "18888 Bayberry Way",
"address_purpose": "LOCATION",
"city": "Northville",
"state": "MI",
"postal_code": "481686815",
"country_code": "US",
"telephone_number": "678-360-7810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "RAMDEEP",
"middle_name": "KAUR",
"name_prefix": "Mrs.",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704243179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.