Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pouya Entezami, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588058937

Pouya Entezami, MD is a Neurosurgery in Clinton Township, Michigan. Qualified in 2015, 11 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New York.

Years since qualifying
11
Licensed in
MI, NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 263-2300
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 47 New Scotland Ave, Albany, NY 12208-3412 — (518) 262-6679

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4301506804 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 63597 (NY)

Record details

NPI number1588058937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Clinton Township