Active NPI
Mustak Y Vaid, MD
- Internal Medicine Physician
- Brownstown TWP, MI
National Provider Identifier
1982619649
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2020.
- Section 1128a(1) exclusion effective Sep 19, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301085038
- Practice address
- 19060 Parkwood LN
Brownstown TWP, MI 48183-6804 - Phone
- (248) 229-7065
- Fax
- (718) 934-7500
- NPI assigned
- Jul 30, 2006
- Last updated
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301085038 | MI | Primary |
Addresses
Primary practice location
19060 Parkwood LN
Brownstown TWP, MI 48183-6804
Mailing address
2647 Coney Island Ave
Brooklyn, NY 11223-5502
Phone (248) 229-7065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Med Clinic LLC | Past | Accepting new patients | |
| Compassionate Doctors PC | Internal Medicine | Past | Accepting new patients |
| Senior Health Care Associates, PC | Past | Accepting new patients | |
| Home VP Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinic/Center
- Detroit, MI
- NPI 1134361702
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1326153578
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1922124320
-
- Geriatric Medicine (Internal Medicine) Physician
- Southfield, MI
- NPI 1770694374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1982619649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235502",
"telephone_number": "248-229-7065",
"fax_number": "718-934-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19060 PARKWOOD LN",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481836804",
"telephone_number": "248-229-7065",
"fax_number": "718-934-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAID",
"first_name": "MUSTAK",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301085038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownstown TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.