Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HIRVA M MAMDANI M.D.
NPI 1437446820
Internal Medicine - Hematology in Detroit, MI

Active since July 06, 2011PECOS Enrolled
4100 JOHN R ST, DETROIT, MI 48201(800) 527-6266(313) 576-8627 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Mar 17, 2018, Jul 3, 2017 (3 updates tracked since 2017).

About Hirva M Mamdani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIRVA M MAMDANI M.D. (NPI 1437446820) is an individual hematology provider in Detroit, Michigan, licensed in Georgia (113383) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1437446820
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameHIRVA M MAMDANICredential: M.D.
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address1891 Kirts Blvd, Apt 210Troy, MI 48084 · (909) 525-0093
Fax(313) 576-8627
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 6, 2011
Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1437446820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in GA · 113383
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301098222 (MI)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 4301098222 (MI)
4100 JOHN R ST, Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hirva M Mamdani M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183840945
PECOS Enrollment IDI20170829001958
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hirva Mamdani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospice and Palliative Medicine
4100 JOHN R ST
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 128 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
97 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Pharmacist (Oncology)
4100 JOHN R ST
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hirva Mamdani's NPI number?

The NPI number for Hirva Mamdani is 1437446820. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Hirva Mamdani located?

Hirva Mamdani practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (800) 527-6266.

What is Hirva Mamdani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Hirva Mamdani enrolled in Medicare?

Yes. Hirva Mamdani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hirva Mamdani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hirva Mamdani reassigns Medicare benefits to Barbara Ann Karmanos Cancer Institute (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hirva Mamdani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hirva Mamdani accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Hirva Mamdani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hirva Mamdani affiliated with any hospitals?

According to CMS data, Hirva Mamdani is affiliated with Harper University Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Hirva Mamdani was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.