Individual provider Active NPI

Midhat Asfar, DDS, MSD

  • Prosthodontics
  • Detroit, MI
National Provider Identifier
1891222816
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2901022552 Issued in MI
Practice address
4100 John R St
Detroit, MI 48201-2013
Phone
(313) 745-4095
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Prosthodontics 1223P0700X 2901022552 MI Primary

Addresses

Primary practice location

4100 John R St
Detroit, MI 48201-2013

Mailing address

24327 Hoover CT Apt 1832
Farmington Hills, MI 48335-2179
Phone (917) 972-1735

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211002156 MI Practitioner - Dentist 8224367081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 John R St
Detroit, MI 48201-2013
Phone (313) 745-7094

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jan 12, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jun 1, 2024 Accepting new patients
Barbara Ann Karmanos Cancer Hospital CurrentSince Feb 15, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Hospital Prosthodontics CurrentSince Feb 15, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jun 1, 2024 Accepting new patients

Locations

4201 Saint Antoine St
Ste 5G
Detroit, MI 48201
Phone (313) 745-4095

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Organizations & group practices 5

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 1

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1891222816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24327 HOOVER CT APT 1832",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352179",
            "telephone_number": "917-972-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012013",
            "telephone_number": "313-745-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASFAR",
        "first_name": "MIDHAT",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901022552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.