AYESHA M TAJ D.O.
NPI 1801858733
Pediatrics - Adolescent Medicine in Canton, MI

Active since April 05, 2006PECOS Enrolled
1600 S CANTON CENTER RD, SUITE 200, CANTON, MI 48188(734) 398-8675(734) 398-8670 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ayesha M Taj D.o. NPPES

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

AYESHA M TAJ D.O. (NPI 1801858733) is an individual adolescent medicine provider in Canton, Michigan, licensed in Michigan (5101013698) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801858733
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameAYESHA M TAJCredential: D.O.
Location Address1600 S CANTON CENTER RD, SUITE 200Canton, MI 48188-1992
Mailing Address1749 Iman RdCanton, MI 48188-2229 · (734) 255-7021
Fax(734) 398-8670
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1801858733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MI · 5101013698
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1600 S CANTON CENTER RD, Canton, MI 48188

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayesha M Taj D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ayesha Taj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
10809 MACK AVE
Detroit, MI 48214
  • Reassigned Medicare billing, Michigan enrollment
  • 9 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.

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.

Pediatrics
1600 S CANTON CENTER RD, STE 200
CANTON, MI 48188
Family Medicine
1600 S CANTON CENTER RD
CANTON, MI 48188
Physician Assistant
1600 S CANTON CENTER RD
CANTON, MI 48188
Internal Medicine
1600 S CANTON CENTER RD
CANTON, MI 48188
Student in an Organized Health Care Education/Training Program
1600 S CANTON CENTER RD, STE 220
CANTON, MI 48188
Specialist
1600 S CANTON CENTER RD, STE 360
CANTON, MI 48188
Clinic/Center (Infusion Therapy)
1600 S CANTON CENTER RD
CANTON, MI 48188
Clinic/Center (Occupational Medicine)
1600 S CANTON CENTER RD, SUITE 140
CANTON, MI 48188

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 Ayesha Taj's NPI number?

The NPI number for Ayesha Taj is 1801858733. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Ayesha Taj located?

Ayesha Taj practices at 1600 S Canton Center Rd Suite 200, Canton, MI 48188. The listed phone number is (734) 398-8675.

What is Ayesha Taj's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Ayesha Taj enrolled in Medicare?

Yes. Ayesha Taj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ayesha Taj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Taj reassigns Medicare benefits to Detroit Wayne County Health Authority (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 Ayesha Taj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayesha Taj accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Ayesha Taj 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.

When was this NPI record last updated?

The NPPES record for Ayesha Taj was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.