NPIMap

Individual provider Active NPI

Taha Syed Meraj

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
National Provider Identifier
1942654769
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4201 Saint Antoine St
5E-Uhc
Detroit, MI 48201-2153
Phone
(313) 577-0804
NPI assigned
Apr 18, 2016
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

4201 Saint Antoine St
5E-Uhc
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St
5E-Uhc
Detroit, MI 48201-2153
Phone (313) 577-0804

Other names 1

  • Syed Taha Mahmood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422000195 MI Practitioner - Otolaryngology 1052729530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ear Nose and Throat Consultants PCGroup PAC ID 4284604174, 30 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 500
Southfield, MI 48034-7648
Phone (248) 569-5985

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants PC CurrentSince Mar 18, 2021 Accepting new patients

Locations

31450 7 Mile Rd
Livonia, MI 48152
Phone (248) 478-6363

26850 Providence Pkwy
Ste 165
Novi, MI 48374

26110 Harper Ave
Saint Clair Shores, MI 48081

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

Interoperability endpoints

  • Direct secure messaging: tmeraj1141320@direct.hfhs.org
  • Direct secure messaging: tmeraj1315440@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1942654769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "5E-UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "5E-UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAJ",
        "first_name": "TAHA",
        "middle_name": "SYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYED",
            "last_name": "MAHMOOD",
            "middle_name": "TAHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.