Individual provider Active NPI

Ghulam Qadir, MD

  • Psychiatry Physician
  • Dearborn, MI
National Provider Identifier
1770662165
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301040442 Issued in MI
Practice address
6 Parklane Blvd
Suite 695
Dearborn, MI 48126
Phone
(313) 271-8170
Fax
(313) 271-8353
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301040442 MI Primary

Addresses

Primary practice location

6 Parklane Blvd
Suite 695
Dearborn, MI 48126

Mailing address

6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2696
Phone (313) 271-8170

Other identifiers 2

IdentifierTypeStateIssuer
2100490MedicaidMI
0N15280OtherMIAPEX BEHAVIORAL HEALTH P.L.L.C MEDICARE PIN NO.

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000427 MI Practitioner - Psychiatry 7113813924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Behavioral Health Dearborn PLLCGroup PAC ID 7911165949, 9 clinicians

Practice addresses (Care Compare)

6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2776
Phone (313) 271-8170

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
97.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301040442MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Behavioral Health Dearborn PLLC Psychiatry CurrentSince Nov 28, 2011 Accepting new patients
Apex Behavioral Health,PLLC Past Accepting new patients

Locations

6 Parklane Blvd
Ste 695
Dearborn, MI 48126
Phone (313) 271-8170

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1770662165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "SUITE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262696",
            "telephone_number": "313-271-8170",
            "fax_number": "313-271-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "SUITE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-271-8170",
            "fax_number": "313-271-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADIR",
        "first_name": "GHULAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301040442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APEX BEHAVIORAL HEALTH P.L.L.C MEDICARE PIN NO.",
            "identifier": "0N15280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.