NPIMap

Organization Active NPI

Mohamed Soofi, MD PC

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1821201468
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MS049788 Issued in MI
Legal business name
MOHAMED SOOFI, MD PC
Practice address
2252 N Monroe St
Monroe, MI 48162-4254
Phone
(734) 241-2726
Fax
(734) 241-2744
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Dr. Mohamed Amjad Soofi, MD
Title
Medical Doctor
Phone
(734) 241-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MS049788 MI Primary

Addresses

Primary practice location

2252 N Monroe St
Monroe, MI 48162-4254

Mailing address

2252 N Monroe St
Monroe, MI 48162-4254
Phone (734) 241-2726

Other identifiers 4

IdentifierTypeStateIssuer
B47598OtherMIHAP
4036635OtherMIAETNA
4075860MedicaidMI
080E811500OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1821201468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-2726",
            "fax_number": "734-241-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-2726",
            "fax_number": "734-241-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED SOOFI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "SOOFI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "AMJAD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "734-241-2726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MS049788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B47598",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4036635",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4075860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080E811500",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.