Individual provider Active NPI

Momtaz Anar, M.D.

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1841292372
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301058400 Issued in MI
Practice address
28351 Schoenherr Rd
Warren, MI 48088-6331
Phone
(586) 393-6500
Fax
(586) 393-6515
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 4301058400 MI Primary

Addresses

Primary practice location

28351 Schoenherr Rd
Warren, MI 48088-6331

Mailing address

28351 Schoenherr Rd
Warren, MI 48088-6331
Phone (586) 393-6500

Other identifiers 1

IdentifierTypeStateIssuer
3177711MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manar21384@direct.beaumont.edu

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
I20080725000463 MI Practitioner - Internal Medicine 9830262732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Care PLLCGroup PAC ID 3476542812, 2 clinicians

Practice addresses (Care Compare)

28351 Schoenherr Rd a
Warren, MI 48088-6331
Phone (586) 393-6500

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Care PLLC CurrentSince Oct 14, 2022 Accepting new patients
Family Practice Care PLLC CurrentSince Oct 14, 2022 Accepting new patients

Locations

28351 Schoenherr Rd
Ste B
Warren, MI 48088
Phone (586) 393-6500

28351 Schoenherr Rd
Ste A
Warren, MI 48088
Phone (586) 393-6500

28351 Schoenherr Rd
Warren, MI 48088
Phone (586) 393-6286

Interoperability endpoints

  • Direct secure messaging: manar1026802@direct.hfhs.org
  • Direct secure messaging: manar1223225@epic00.shdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1841292372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28351 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886331",
            "telephone_number": "586-393-6500",
            "fax_number": "586-393-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28351 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886331",
            "telephone_number": "586-393-6500",
            "fax_number": "586-393-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAR",
        "first_name": "MOMTAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3177711",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manar21384@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "15200 Kercheval Ave",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.