Marjan Moghaddam, D.O
Marjan Moghaddam, D.O is a Family Medicine Physician in Detroit, MI, registered under NPI 1457615247.
Getting there
The practice address on file is 3370 E JEFFERSON AVE, Detroit, MI 48207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5101019748 | MI | Family Medicine Physician primary |
This provider holds licence 5101019748 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Practice
- PAC ID
- 0042525495
- Enrollment ID
- I20150814013090
Medicare enrolment is recorded as approved under the provider type Practitioner - General Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1457615247 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 27, 2012 |
| Last updated | Mar 9, 2021 |
| Status | Deactivated |
| Sole proprietor | No |
| Credential | D.O |
| Practice address |
3370 E JEFFERSON AVE Detroit, MI 48207 (800) 659-6568 Fax (313) 656-1610 |
| Mailing address |
4077 CROOKS RD Royal Oak, MI 48073 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 5 | 7 | 6 | 1 | 5 | 2 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 1 | 7 | 3 | 1 | 1 | 2 | 8 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.