Active NPI
Usman G Master, MD
- Nephrology Physician
- Pontiac, MI
National Provider Identifier
1922075753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301052008
- Practice address
- 44200 Woodward Ave
Suite 209
Pontiac, MI 48341-5045 - Phone
- (248) 253-0330
- Fax
- (248) 253-1982
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301052008 | MI | Primary |
Addresses
Primary practice location
44200 Woodward Ave
Suite 209
Pontiac, MI 48341-5045
Mailing address
1886 W Auburn Rd
Sutie 400
Rochester Hills, MI 48309-3865
Phone (248) 290-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4095890 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 Investment Dr
Suite 290
Troy, MI 48098-6374
Phone (248) 267-5010
Hospital & facility affiliations
- Greenfield HS - Pontiac
- Trinity Health Oakland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301052008 | MI | MD | Nephrology Physician |
Interoperability endpoints
- umaster19019@direct.acumenmd.com
- umaster36145@direct.trinity-health.org
Organizations & group practices 1
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.
-
- Nephrology Physician
- Sterling Heights, MI
- NPI 1831130723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pontiac, MI
- NPI 1659391043
Dialysis facility
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1922075753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1886 W AUBURN RD",
"address_2": "SUTIE 400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093865",
"telephone_number": "248-290-3111",
"fax_number": "248-290-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44200 WOODWARD AVE",
"address_2": "SUITE 209",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415045",
"telephone_number": "248-253-0330",
"fax_number": "248-253-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTER",
"first_name": "USMAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301052008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4095890",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.