Active NPI
Mahir D Elder MD PC
- Cardiovascular Disease Physician
- Detroit, MI
National Provider Identifier
1992032007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME073824
- Legal business name
- MAHIR D ELDER MD PC
- Practice address
- 4160 John R St Ste 510
Detroit, MI 48201-2021 - Phone
- (313) 999-2222
- Fax
- (313) 993-2563
- NPI assigned
- Nov 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahir D Elder, M.D.
- Title
- President
- Phone
- (313) 993-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME073824 | MI | Primary |
Addresses
Primary practice location
4160 John R St Ste 510
Detroit, MI 48201-2021
Mailing address
4160 John R St Ste 510
Detroit, MI 48201-2021
Phone (313) 993-7777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105174942 | Medicaid | MI | |
| I60238 | Other | MI | UPIN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257984000000",
"number": "1992032007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": "313-999-2222",
"fax_number": "313-993-2563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHIR D ELDER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-12",
"status": "A",
"authorized_official_last_name": "ELDER",
"authorized_official_first_name": "MAHIR",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-993-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "ME073824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105174942",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "I60238",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.