NPIMap

Individual provider Active NPI

Talha Idrees, D.O.

  • Cardiovascular Disease Physician
  • Grand Blanc, MI
National Provider Identifier
1962634592
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101018182 Issued in MI
Practice address
3399 Pollock Rd
Grand Blanc, MI 48439-8395
Phone
(810) 603-0170
Fax
(810) 579-1705
NPI assigned
Aug 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101018182 MI
Cardiovascular Disease Physician 207RC0000X 5101018182 MI Primary

Addresses

Primary practice location

3399 Pollock Rd
Grand Blanc, MI 48439-8395

Mailing address

3399 Pollock Rd
Grand Blanc, MI 48439-8395
Phone (810) 603-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150630001584 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971815242 Reassigns benefits to 6 organizations
I20240404000329 TX Practitioner - Cardiovascular Disease (Cardiology) 3971815242 Reassigns benefits to 1 organization
I20260511000031 WI Practitioner - Cardiovascular Disease (Cardiology) 3971815242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ccmma TX PLLCGroup PAC ID 6305275611, 15 clinicians
Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians
NDS Radiology PLLCGroup PAC ID 2062408875, 15 clinicians
Lapeer Medical Diagnostics PCGroup PAC ID 9133359599, 6 clinicians
Cardiovascular Care Associates PLCGroup PAC ID 4385996636, 3 clinicians

Practice addresses (Care Compare)

110 Whysall LN
Bloomfield Hills, MI 48304-2763
Phone (845) 702-2711

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600

39595 W 10 Mile Rd
Suite 102
Novi, MI 48375-2948
Phone (248) 476-6980

944 Baldwin Rd F
Lapeer, MI 48446-3089
Phone (810) 245-7812

9450 S Saginaw Rd
Suite E
Grand Blanc, MI 48439-8206
Phone (810) 428-6227

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314
  • Baptist Neighborhood Hospital Thousand Oaks Hospital, San Antonio, TX, CCN 670078
  • Saint Rose Dominican Hospitals - North Las Vegas Hospital, North Las Vegas, NV, CCN 290058
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Care Associates PLC Cardiovascular Disease CurrentSince Sep 26, 2018 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
NDS Radiology Inc. Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Basha Diagnostics P C CurrentSince Nov 1, 2024 Accepting new patients
Lapeer Medical Diagnostics PC CurrentSince May 27, 2024 Accepting new patients
Mymichigan Medical Center Alpena Internal Medicine CurrentSince Aug 10, 2018 Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients
Ccmma NJ LLC PastSince Oct 28, 2025 Accepting new patients
Ccmma Ca PC Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

9450 S Saginaw Rd
Ste E
Grand Blanc, MI 48439
Phone (810) 428-6227

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

944 Baldwin Rd
Ste F
Lapeer, MI 48446
Phone (810) 245-7812

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

28700 Cabot Dr
Ste 500
Novi, MI 48377
Phone (248) 476-6980

39595 W 10 Mile Rd
Ste 102
Novi, MI 48375
Phone (248) 476-6980

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

2431 S M 30
Ste 216
West Branch, MI 48661
Phone (989) 343-1134

Interoperability endpoints

  • Direct secure messaging: tidrees864175@direct.hfhs.org
  • Direct secure messaging: tidrees1281987@direct.sw.org

Organizations & group practices 11

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1962634592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 POLLOCK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398395",
            "telephone_number": "810-603-0170",
            "fax_number": "810-579-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 POLLOCK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398395",
            "telephone_number": "810-603-0170",
            "fax_number": "810-579-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDREES",
        "first_name": "TALHA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-15",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018182",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101018182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.