Ayad M. Al-Katib, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301049200 Issued in MI

Practice address

19229 Mack Ave
Suite 34
Grosse Pointe Woods, MI 48236-2858

Phone

(313) 647-3245

Fax

(313) 647-3244

NPI assigned

Sep 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Henry Ford Health St. John Hospital

  dba St John North Shores Hospital

  • Podiatrist
  • Harrison Township, MI
  • NPI 1043478910
  Medicare reassignment NPD
• Academic Hematology Oncology, PC

  • Oncology Clinic/Center
  • Dearborn Heights, MI
  • NPI 1902329501
  Authorized official Same address or phone
• Lymphoma Clinic of Michigan

  • Hematology & Oncology Physician
  • Grosse Pointe Woods, MI
  • NPI 1518141977
  NPD (past) Authorized official
• Henry Ford Health St. John Hospital

  dba Henry Ford St John Hospital

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1912965088

  Hematology & Oncology

  NPD
• Pathology Specialists of Southeast Michigan PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1023100500
  NPD
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD
• Harper Hutzel Hospital

  • Clinic/Center
  • Detroit, MI
  • NPI 1417150327
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013902691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "SUITE 34",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "313-647-3245",
            "fax_number": "313-647-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "SUITE 34",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "313-647-3245",
            "fax_number": "313-647-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KATIB",
        "first_name": "AYAD",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301049200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4327573",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Adegbola
• Mohamad Besher Adi, M.D.
• Audrey Adiakpan
• Mazen Al Mushref, M.D.
• Al U.S./GP Woods II Senior Housing, LLC (Sunrise Assisted Living on Vernier)
• Zaynab Al-Sagri, MD
• Sura Alazzawi
• Nour Zuhier Daoud Aldaoud, MD
• Shaquelle Alexander
• Mercedes Rose Allen-Adams

• Hematology & Oncology Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.