Individual provider Active NPI

Syed M. Ahsan, M.D.

  • Nephrology Physician
  • Taylor, MI
National Provider Identifier
1801964325
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301060562 Issued in MI
Practice address
Henry Ford Health System
24565 Haig Road
Taylor, MI 48180
Phone
(313) 291-7800
Fax
(313) 291-7420
NPI assigned
Dec 1, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060562 MI
Nephrology Physician 207RN0300X 4301060562 MI Primary

Addresses

Primary practice location

Henry Ford Health System
24565 Haig Road
Taylor, MI 48180

Mailing address

Henry Ford Health System
24565 Haig Road
Taylor, MI 48180
Phone (313) 291-7800

Other identifiers 4

IdentifierTypeStateIssuer
SA060562OtherCOMMERCIAL-COMMERCIAL NUMBER
316351010MedicaidMI
SA060562OtherCHAMPUS-CHAMPUS
700H262220OtherBLUE CROSS-BLUE CROSS

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
I20080324000091 MI Practitioner - NephrologyPractitioner - Internal Medicine 7315023983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6064

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

24565 Haig St
Taylor, MI 48180-3322
Phone (313) 291-7800

2799 W Grand Blvd
Detroit, MI 48202-2608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Jul 1, 1995 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 1995 Accepting new patients

Locations

1 Ford Pl
#2E
Detroit, MI 48202
Phone (313) 874-4688

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

24565 Haig St
Taylor, MI 48180
Phone (313) 291-7800

Interoperability endpoints

  • Direct secure messaging: sahsan12958@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1801964325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "24565 HAIG ROAD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "telephone_number": "313-291-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "24565 HAIG ROAD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "telephone_number": "313-291-7800",
            "fax_number": "313-291-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "SYED",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060562",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301060562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "SA060562",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316351010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "SA060562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.