Mayura S Madani, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301062772 Issued in MI

Practice address

4160 John R Street
Detroit, MI 48201

Phone

(313) 833-4629

Fax

(313) 833-4648

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mmadani63348@direct.hfhs.org
• Direct secure messaging: mmadani@direct.dmc.org

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.

• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Warren, MI
  • NPI 1043103989
  NPD (past)
• Midwest Health Center

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1023294220
  NPD (past)
• Midwest Health Center

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
  • NPI 1164608352
  NPD (past)
• Midwest Health Center Oc

  • Surgery Physician
  • Dearborn, MI
  • NPI 1417133612
  NPD (past)
• Midwest Health Center P.C.

  • Clinical Medical Laboratory
  • Dearborn, MI
  • NPI 1356304240
  NPD (past)
• Midwest Health Center PC

  • Audiologist
  • Dearborn, MI
  • NPI 1265618458
  NPD (past)
• Midwest Health Center PC

  • Audiologist-Hearing Aid Fitter
  • Dearborn, MI
  • NPI 1295911485
  NPD (past)
• Midwest Health Center PC

  • General Practice Physician
  • Dearborn, MI
  • NPI 1417149428

  Pediatrics

  NPD (past)
• Midwest Health Center PC

  • Dermatology Physician
  • Dearborn, MI
  • NPI 1427234616

  Pediatrics

  NPD (past)
• Midwest Health Center PC

  • Urology Physician
  • Dearborn, MI
  • NPI 1609052885
  NPD (past)
• Midwest Health Center PC

  • General Practice Physician
  • Dearborn, MI
  • NPI 1659394997
  NPD (past)
• Midwest Health Center PC

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1780860981
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1992867204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011303",
            "telephone_number": "248-709-6596",
            "fax_number": "313-833-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-833-4629",
            "fax_number": "313-833-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANI",
        "first_name": "MAYURA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301062772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104788033",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venus Macon-Dickerson, CADC-M
• James Macon, BCBA
• Kristopher Macwilliams, MD
• Madame Paulettes Regal Services
• Shashi K Madan, MD
• Piyush Madani
• Sanjana Madarapu, DDS
• Blake Andrew Maddalena, DDS
• Prasanthi Maddali, MD
• Bryan Patrick Madden, M.D.

• Pediatrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.