Aum Aeeman Memon, M.B.B.S.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301505359 Issued in MI

Practice address

3901 Chrysler Dr Ste 3B
Detroit, MI 48201-2167

Phone

(313) 577-1396

Fax

(859) 323-1194

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Center for Family HealthGroup PAC ID 4587574421, 39 clinicians

Neighborhood Service OrganizationGroup PAC ID 7113907387, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
• Harper University Hospital Hospital, Detroit, MI, CCN 230104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amemon16824@ukhcdirect.org
• Direct secure messaging: aum.aeeman.memon.1@19711.direct.athenahealth.com
• Direct secure messaging: amemon763051@direct.hfhs.org
• FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

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.

• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1780784439

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Neighborhood Service Organization

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1891825808

  Single Specialty

  Medicare reassignment Care Compare group NPD
• University Physician Group

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1447299797

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mynd Thera PLLC

  • Psychiatry Physician
  • Grosse Pointe Woods, MI
  • NPI 1255146965

  Single Specialty

  Medicare reassignment NPD
• Victor M. Cruz MD, P.C.

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1023036514

  Single Specialty

  Medicare reassignment NPD
• Center for Family Health

  • Federally Qualified Health Center (FQHC)
  • Jackson, MI
  • NPI 1710764410
  NPD
• The Wellness Plan Medical Centers

  • Clinic/Center
  • Detroit, MI
  • NPI 1043373244

  Single Specialty

  NPD (past)
• University Physician Group

  • Social Worker
  • Livonia, MI
  • NPI 1154360402

  Single Specialty

  NPD (past)

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

• VHS Detroit Receiving Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1619289998
  Care Compare affiliation
• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700
  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  Care Compare affiliation

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1740711605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER DR STE 3B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012167",
            "telephone_number": "313-577-1396",
            "fax_number": "859-323-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER DR STE 3B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012167",
            "telephone_number": "313-577-1396",
            "fax_number": "859-323-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "AUM AEEMAN",
        "credential": "M.B.B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "R4561",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301505359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aeeman.memon@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Organization website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aeeman.memon@gmail.com",
            "address_1": "3901 Chrysler Dr Ste 3B",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482012167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian Membrere, RN
• Maria Gloria Membrere, RN
• Memee LLC
• Katherine Memisevic, CRNA
• Anza Bilal Memon, M.D
• Pareesa Memon
• Sara Ahsan Memon, MD
• Amy Dana Menard, PHD
• Stefan Menchinger, MD
• Rudolph Menchl Jr., MD

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.