NPIMap

Individual provider Active NPI

Samina Ansar Ghazi, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1992754980
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060000 Issued in MI
Practice address
33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307
Phone
(248) 489-9070
Fax
(248) 489-9076
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060000 MI Primary

Addresses

Primary practice location

33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307

Mailing address

33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307
Phone (248) 489-9070

Other practice location 1

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

Other identifiers 1

IdentifierTypeStateIssuer
449532710MedicaidMI

Other names 1

  • Dr. Samina Ansar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071012000630 MI Practitioner - Internal MedicinePractitioner - Addiction Medicine 2264528827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samina Ansar Ghazi MD PCGroup PAC ID 8628164183, 2 clinicians

Practice addresses (Care Compare)

33110 W 12 Mile Rd
Farmington Hills, MI 48334-3307
Phone (248) 489-9070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Behavioral Services CurrentSince Dec 11, 2019 Accepting new patients
Lincoln Behavioral Services Current Accepting new patients
Farnaz S Abhari MD PC Internal Medicine Current Accepting new patients
Samina Ansar Ghazi MD PC CurrentSince Aug 2, 2003 Accepting new patients

Locations

33110 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (248) 390-9034

9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

Interoperability endpoints

  • Direct secure messaging: sansar-g@direct.dmc.org
  • Direct secure messaging: sghazi61172@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1992754980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33110 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343307",
            "telephone_number": "248-489-9070",
            "fax_number": "248-489-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33110 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343307",
            "telephone_number": "248-489-9070",
            "fax_number": "248-489-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9315 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482391260",
            "country_code": "US",
            "telephone_number": "313-450-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZI",
        "first_name": "SAMINA",
        "middle_name": "ANSAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449532710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMINA",
            "last_name": "ANSAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.