Individual provider Active NPI

Premchand Anne, M.D., M.B.A., M.P.H.

  • Pediatric Cardiology Physician
  • Detroit, MI
National Provider Identifier
1881721165
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
4301080539 Issued in MI
Practice address
22201 Moross Rd
PB II, Suite 275
Detroit, MI 48236-2169
Phone
(313) 343-4887
Fax
(313) 343-6822
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301080539 MI
Pediatric Cardiology Physician 2080P0202X 4301080539 MI Primary
Pediatrics Physician 208000000X 4301080539 MI

Addresses

Primary practice location

22201 Moross Rd
PB II, Suite 275
Detroit, MI 48236-2169

Mailing address

22201 Moross Rd Ste 275
Detroit, MI 48236-2176
Phone (313) 343-6840

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
I20100826001242 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4587788559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Practice addresses (Care Compare)

22201 Moross Rd
Suite 270
Grosse Pointe, MI 48236-2175
Phone (313) 343-3481

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Apr 28, 2010 Accepting new patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Apr 28, 2010 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 15, 2017 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Pediatric Cardiology CurrentSince Jan 15, 2017 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Dec 8, 2025 Accepting new patients
Henry Ford Health Providence Hospital Pediatrics CurrentSince Dec 8, 2025 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Cornerstone Medical Group Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 270
Grosse Pointe, MI 48236
Phone (313) 343-3481

22201 Moross Rd
Ste 275
Grosse Pointe, MI 48236
Phone (313) 343-3804

22201 Moross Rd
Ste 252
Grosse Pointe, MI 48236
Phone (313) 343-4411

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144

1135 W University Dr
Ste 355
Rochester Hills, MI 48307
Phone (248) 680-8060

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: panne1115231@direct.hfhs.org

Organizations & group practices 10

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 6

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1881721165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 275",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362176",
            "telephone_number": "313-343-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "PB II, SUITE 275",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-4887",
            "fax_number": "313-343-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNE",
        "first_name": "PREMCHAND",
        "credential": "M.D., M.B.A., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080539",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MI",
            "license": "4301080539",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301080539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.