Organization Active NPI

Pulsar Medical Group MD PC

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1972918829
Registry record updated Jun 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301088545 Issued in MI
Legal business name
PULSAR MEDICAL GROUP MD PC
Practice address
38167 Turnberry CT
Farmington Hills, MI 48331-4800
Phone
(248) 522-6755
NPI assigned
Jun 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2014

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

Authorized official

Name
Abu Fazal Shaik Mohammed, M.D.NPI 1720224884
Title
Owner
Phone
(248) 522-6755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301088545 MI Primary

Addresses

Primary practice location

38167 Turnberry CT
Farmington Hills, MI 48331-4800

Mailing address

38167 Turnberry CT
Farmington Hills, MI 48331-4800
Phone (248) 522-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140827001783 MI Part B Supplier - Clinic/Group Practice 6406074848 Receives reassigned benefits from 2 practitioners
Practice locations: Livonia, MI; Lathrup Village, MI; Commerce Township, MI; Detroit, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404000000000",
    "number": "1972918829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38167 TURNBERRY CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314800",
            "telephone_number": "248-522-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38167 TURNBERRY CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314800",
            "telephone_number": "248-522-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSAR MEDICAL GROUP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2014-06-29",
        "status": "A",
        "authorized_official_last_name": "SHAIK MOHAMMED",
        "authorized_official_first_name": "ABU FAZAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-522-6755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.