Muhammad K Muizuddin, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005992 Issued in MI

Practice address

33155 Annapolis St
Emergency Medicine Department
Wayne, MI 48184-2405

Phone

(734) 467-4042

Fax

(734) 467-5500

NPI assigned

May 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Michigan PCGroup PAC ID 5799886313, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• American Current Care of Michigan PC

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1659562262
  Medicare reassignment Care Compare group NPD
• American Current Care of Michigan PC

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1477745495
  NPD
• My Home Doctor,P.C.

  • Physical Disabilities Residential Treatment Facility
  • Ypsilanti, MI
  • NPI 1023047883
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1982997094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-632-0175",
            "fax_number": "734-632-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405",
            "telephone_number": "734-467-4042",
            "fax_number": "734-467-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIZUDDIN",
        "first_name": "MUHAMMAD",
        "middle_name": "K",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "PENDING",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Jean Mosley, M.S., T.L.L.P.
• Taylor Mott
• Khadijah Briana Moye
• Gwen Mraulak, MA, LBSW
• Beatrice H Muglia, MD
• Jairaj D Mulchandani, MD
• Rosario Munoz
• Michelle D Murphy, CRNA
• Glenn Murry, PAC
• Tehmina Mushtaq, MD

• Physician Assistant in Wayne, MI
• Providers in Wayne, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.