NPIMap

Individual provider Active NPI

Hudson H Daneshvar, M.D

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1770548232
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081239 Issued in MI
Practice address
32950 5 Mile Rd
Livonia, MI 48154-6802
Phone
(734) 422-2020
Fax
(734) 422-4040
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081239 MI Primary

Addresses

Primary practice location

32950 5 Mile Rd
Livonia, MI 48154-6802

Mailing address

32950 5 Mile Rd
Livonia, MI 48154-6802
Phone (734) 422-2020

Other identifiers 4

IdentifierTypeStateIssuer
1106349751OtherMIBCBS
134289255OtherMICOMMERCIAL/TAX ID
141151OtherMICARE CHOICE/PREF CH
4788169MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000343 MI Practitioner - Internal Medicine 4486636255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32950 5 Mile Rd
Livonia, MI 48154-6802
Phone (734) 422-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081239MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H Daneshvar M D P C Internal Medicine CurrentSince May 1, 2005 Accepting new patients
Optalis Canton Opco LLC Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

32950 5 Mile Rd
Livonia, MI 48154
Phone (734) 422-2020

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

Interoperability endpoints

  • Direct secure messaging: hdaneshvar32412@direct.trinity-health.org
  • Direct secure messaging: hdaneshvar1124435@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGCHCA/Endpoint/GGCHCA

Organizations & group practices 3

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.

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1770548232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32950 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546802",
            "telephone_number": "734-422-2020",
            "fax_number": "734-422-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32950 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546802",
            "telephone_number": "734-422-2020",
            "fax_number": "734-422-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHVAR",
        "first_name": "HUDSON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1106349751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL/TAX ID",
            "identifier": "134289255",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICE/PREF CH",
            "identifier": "141151",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4788169",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.