Mansoor G Naini, M.D

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MN036991 Issued in MI

Practice address

4020 Venoy Rd
Suite 200
Wayne, MI 48184-1869

Phone

(734) 459-7444

Fax

(734) 459-7744

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Halo Medical Group PLLC

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1811214489
  Medicare reassignment NPD
• Hala Nahhas, M.D., PLLC

  • Neurology Physician
  • Bloomfield Hills, MI
  • NPI 1871783662
  NPD (past)
• Mancini Consulting L.L.C.

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1023413945
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1780645036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 LONE PINE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233611",
            "telephone_number": "734-459-7444",
            "fax_number": "734-459-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "734-459-7444",
            "fax_number": "734-459-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAINI",
        "first_name": "MANSOOR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "MN036991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405307",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle D Murphy, CRNA
• Glenn Murry, PAC
• Tehmina Mushtaq, MD
• Katie Musk, BS
• Sue Mys, LBSW,QIDP
• Zainab Nasser
• Hanan Nassif
• Stephen Ndukwe, PTA
• Kimberly Neidhart
• Mary Neph, OT

• Cardiovascular Disease Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.