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HEART AND VASCULAR INSTITUTE
NPI 1679030530
Internal Medicine - Cardiovascular Disease in Dearborn, MI

Active since February 27, 2019CLIA 23D1077274 · Waiver
22720 MICHIGAN AVE STE 200, DEARBORN, MI 48124(313) 791-3000 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heart And Vascular Institute NPPES

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

HEART AND VASCULAR INSTITUTE (NPI 1679030530) is a healthcare organization registered as a cardiovascular disease in Dearborn, Michigan and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through December 4, 2027, maintains 2 additional practice locations, and lists Hanady Beydoun, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679030530
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART AND VASCULAR INSTITUTE
Location Address22720 MICHIGAN AVE STE 200Dearborn, MI 48124-2021
Mailing Address22720 Michigan Ave Ste 200Dearborn, MI 48124-2021
Phone(313) 791-3000
Organization SubpartYesParent: Halo Medical Group Pllc
Authorized OfficialHanady BeydounOffice Manager · (313) 993-7777
Enumeration DateFebruary 27, 2019
✔ NPI 1679030530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
22720 MICHIGAN AVE STE 200, Dearborn, MI 48124
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14160 John R St Ste 510Detroit, MI 48201-2021 · Phone (313) 993-7777
Location 220240 W 12 Mile RdSouthfield, MI 48076-2426 · Phone (248) 424-5000

Other Identifiers 20

Other12091363Caqh
Other12345659Caqh
Medicaid1417010315MI
Medicaid1932149838MI
Other14396095Caqh
Medicaid1912263914MI
Other11615581Caqh
Medicaid1326291428MI
Medicaid1881916435MI
Other11892261Caqh
Other12063174Caqh
Other12440670Caqh
Medicaid1457687584MI
Other12151256Caqh
Other12248863Caqh
Medicaid1043473382MI
Medicaid1962427260MI
Medicaid1144341645MI
Other12718965Caqh
Medicaid1831154798MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1077274

Heart And Vascular Institute · Detroit, MI
Active · expires Dec 4, 2027
CLIA Number23D1077274
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorMahir D. Elder
Laboratory Phone(313) 993-7777
Laboratory LocationHeart And Vascular Institute4160 John R Suite 510, Detroit, MI 48201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

NIMROD BLANK M.D.
Internal Medicine (Cardiovascular Disease)
22720 MICHIGAN AVE STE 200
DEARBORN, MI 48124
Wayne County (313) 791-3000
HALO EP PLLC
Internal Medicine (Clinical Cardiac Electrophysiology)
22720 MICHIGAN AVE STE 200
DEARBORN, MI 48124
Wayne County (313) 791-3000

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 Heart And Vascular Institute's NPI number?

The NPI number for Heart And Vascular Institute is 1679030530. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Heart And Vascular Institute located?

Heart And Vascular Institute is located at 22720 Michigan Ave Ste 200, Dearborn, MI 48124. The listed phone number is (313) 791-3000.

What is Heart And Vascular Institute's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Heart And Vascular Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1077274) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heart And Vascular Institute was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.