Individual provider Active NPI

Seemin Qureshi, PA-C

  • Medical Physician Assistant
  • Milford, MI
National Provider Identifier
1871040071
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007898 Issued in MI
Practice address
1800 N Milford Rd Ste 100
Milford, MI 48381-1047
Phone
(248) 684-6400
NPI assigned
Sep 6, 2016
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5601007898 MI
Medical Physician Assistant 363AM0700X 5601007898 MI Primary

Addresses

Primary practice location

1800 N Milford Rd Ste 100
Milford, MI 48381-1047

Mailing address

6819 Trailview CT
West Bloomfield, MI 48322-4562
Phone (734) 658-0724

Other names 1

  • Seemin Tajuddin Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104002152 MI Practitioner - Physician Assistant 6901187038 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, shared by 13 NPIs, 196 clinicians

Practice addresses (Care Compare)

1800 N Milford Rd
Suite 100
Milford, MI 48381-1047
Phone (248) 684-6400

2550 S Telegraph Rd
Suite 250
Bloomfield Hills, MI 48302-0909
Phone (248) 322-0001

31000 Telegraph Rd
Suite 120
Bingham Farms, MI 48025-4321
Phone (248) 594-4991

705 S Main St
Suite 280
Plymouth, MI 48170-1060
Phone (734) 454-3560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007898MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 17, 2024 Accepting new patients
Heron Ridge Associates PLC CurrentSince Oct 8, 2019 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 17, 2024 Accepting new patients

Locations

1785 W Stadium Blvd
Ste 205
Ann Arbor, MI 48103
Phone (734) 787-9775

31000 Telegraph Rd
Ste 120
Bingham Farms, MI 48025
Phone (248) 594-4991

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

3694 Clarkston Rd
Ste D
Clarkston, MI 48348
Phone (248) 410-0650

16664 15 Mile Rd
Fraser, MI 48026
Phone (586) 294-3030

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

33300 5 Mile Rd
Ste 208
Livonia, MI 48154
Phone (734) 522-0280

1800 N Milford Rd
Ste 100
Milford, MI 48381
Phone (248) 684-6400

705 S Main St
Plymouth, MI 48170
Phone (313) 492-4363

705 S Main St
Ste 280
Plymouth, MI 48170
Phone (734) 454-1094

Interoperability endpoints

  • Direct secure messaging: seemin.qureshi.1@28621.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1871040071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 TRAILVIEW CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224562",
            "telephone_number": "734-658-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N MILFORD RD STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811047",
            "telephone_number": "248-684-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SEEMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5601007898",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEEMIN",
            "last_name": "TAJUDDIN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.