NPIMap

Individual provider Active NPI

Mahir Darrar Elder, MD

  • Cardiovascular Disease Physician
  • Detroit, MI
National Provider Identifier
1962427260
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301073824 Issued in MI
Practice address
4160 John R St Ste 510
Detroit, MI 48201-2021
Phone
(313) 993-7777
Fax
(313) 993-2563
NPI assigned
Jul 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301073824 MI Primary

Addresses

Primary practice location

4160 John R St Ste 510
Detroit, MI 48201-2021

Mailing address

22725 Alexandrine St
Dearborn, MI 48124-1081
Phone (313) 563-3609

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
I20061011000303 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991701179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVP Endovascular Center PLLCGroup PAC ID 7315297827, 6 clinicians
Halo Medical Group PLLCGroup PAC ID 1850587890, 17 clinicians

Practice addresses (Care Compare)

22720 Michigan Ave
Suite 300
Dearborn, MI 48124-2035
Phone (313) 791-3000

4160 John R St
Suite 510
Detroit, MI 48201-2021
Phone (313) 993-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Lifeline Center PLLC CurrentSince Jan 5, 2022 Accepting new patients
Halo Primary Care PLLC Current Accepting new patients
Halo Ep PLLC CurrentSince Apr 1, 2024 Accepting new patients
Halo Medical Group PLLC Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Halo Pediatrics Past Accepting new patients
Halo Endocrinology Past Accepting new patients
Halo Primary Care Past Accepting new patients
Heart and Vascular Institute Cardiovascular Disease Past Accepting new patients
N Gupta MD PC Cardiovascular Disease Past Accepting new patients
Halo Medical Group PLLC Cardiovascular Disease Past Accepting new patients
Halo PT & Rehab Past Accepting new patients

Locations

2038 Reliable Pkwy
Chicago, IL 60686

22720 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (313) 791-3000

22720 Michigan Ave
Ste 300
Dearborn, MI 48124
Phone (313) 791-3000

2421 Monroe St
Ste 101
Dearborn, MI 48124
Phone (313) 561-1520

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

7633 E Jefferson Ave
Ste 330
Detroit, MI 48214
Phone (313) 823-5338

10861 W 10 Mile Rd
Oak Park, MI 48237
Phone (248) 268-1135

20240 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 331-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5856/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mahir.elder.p23@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962427260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 ALEXANDRINE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241081",
            "telephone_number": "313-563-3609",
            "fax_number": "313-563-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 510",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012021",
            "telephone_number": "313-993-7777",
            "fax_number": "313-993-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "MAHIR",
        "middle_name": "DARRAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301073824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.