Individual provider Active NPI

Muhammad Bakleh, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Flint, MI
National Provider Identifier
1003921610
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MB056774 Issued in MI
Practice address
5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone
(810) 230-0788
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MB056774 MI Primary

Addresses

Primary practice location

5040 Villa Linde Pkwy
Flint, MI 48532-3445

Mailing address

5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone (810) 230-0788

Other identifiers 8

IdentifierTypeStateIssuer
MB056774OtherMIBLUE CROSS BLUE SHIELD
0996126OtherMIHEALTH PLUS OF MICHIGAN
MB056774OtherMIBLUE CARE NETWORK
1008999OtherMIMCLAREN HEALTH ADVANTAGE
F25123OtherMIHEALTH ALLIANCE PLAN
1008999OtherMIMCLAREN HEALTH PLAN
16359OtherMIMCARE CLAIMS
P00068213OtherMIPALMETTO GBA RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910001228 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 5799752622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Consultants of Mid Michigan PCGroup PAC ID 4284525106, 3 clinicians

Practice addresses (Care Compare)

5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone (810) 230-0788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
79.49
Improvement activities
40
Cost
79.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20895OKMDPharmacist
MB056774MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Consultants of Mid Michigan PC CurrentSince Jun 30, 2003 Accepting new patients

Locations

1397 S Linden Rd
Flint, MI 48532
Phone (810) 230-9750

5040 Villa Linde Pkwy
Ste B
Flint, MI 48532

5040 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 230-0788

1200 Barry Dr
Ste 3600
Lapeer, MI 48446
Phone (810) 245-7059

Interoperability endpoints

  • Direct secure messaging: mbakleh1116034@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACDD/Endpoint/JCACDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1003921610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-230-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-230-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKLEH",
        "first_name": "MUHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "MB056774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MB056774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "0996126",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "MB056774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1008999",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "F25123",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1008999",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE CLAIMS",
            "identifier": "16359",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "P00068213",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.