Individual provider Active NPI

Nancy Attia Mesiha, MD

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1952320293
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301075113 Issued in MI
Practice address
25910 Kelly Rd
Suite B
Roseville, MI 48066-4466
Phone
(586) 772-3366
Fax
(586) 772-3355
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301075113 MI Primary
Nuclear Cardiology Physician 207UN0901X 4301075113 MI

Addresses

Primary practice location

25910 Kelly Rd
Suite B
Roseville, MI 48066-4466

Mailing address

50505 Schoenherr Rd
Suite320
Shelby Township, MI 48315-3140
Phone (586) 580-3062

Other identifiers 2

IdentifierTypeStateIssuer
4301075113OtherMIPHYSICIAN'S LICENSE
4754250MedicaidMI

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
I20050718000773 MI Practitioner - Cardiovascular Disease (Cardiology) 9638106065 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Michigan, P.C.Group PAC ID 1850330309, 10 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

25910 Kelly Rd B
Roseville, MI 48066-4466
Phone (586) 772-3366

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075113MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Aug 5, 2024 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2005 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2005 Accepting new patients
Heart Rhythm and Pacemaker Specialist PLLC Cardiovascular Disease CurrentSince Jun 19, 2023 Accepting new patients
Cardiology Associates of Michigan, P.C. Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease CurrentSince Aug 5, 2024 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients

Locations

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

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

4150 S River Rd
Ste D
East China, MI 48054
Phone (810) 329-8870

22201 Moross Rd
Ste 50
Grosse Pointe Woods, MI 48236
Phone (313) 343-7774

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

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

25910 Kelly Rd
Ste B
Roseville, MI 48066
Phone (586) 772-3366

25779 Kelly Rd
Roseville, MI 48066
Phone (586) 774-7987

50505 Schoenherr Rd
Ste 320
Shelby Township, MI 48315
Phone (586) 580-3062

Interoperability endpoints

  • Direct secure messaging: nancy.mesiha.p1@direct.cardofmich.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1952320293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-580-3062",
            "fax_number": "586-580-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 KELLY RD",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664466",
            "telephone_number": "586-772-3366",
            "fax_number": "586-772-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIHA",
        "first_name": "NANCY",
        "middle_name": "ATTIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301075113",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301075113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S LICENSE",
            "identifier": "4301075113",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.