NPIMap

Individual provider Active NPI

Abdul Kadar Alawwa, M.D.

  • Cardiovascular Disease Physician
  • Lapeer, MI
National Provider Identifier
1013904093
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301075273 Issued in MI
Practice address
1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone
(810) 664-4870
Fax
(810) 664-0921
NPI assigned
Oct 4, 2005
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301075273 MI Primary

Addresses

Primary practice location

1031 Suncrest Dr
Lapeer, MI 48446-1136

Mailing address

1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 664-4870

Other identifiers 2

IdentifierTypeStateIssuer
4909961MedicaidMI
4906164MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000905 MI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5496742439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of East Michigan PLLCGroup PAC ID 5698788099, 5 clinicians

Practice addresses (Care Compare)

1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 664-4870

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of East Michigan PLLC Cardiovascular Disease CurrentSince Aug 21, 2006 Accepting new patients
Mid Michigan Diagnostic Corp CurrentSince Aug 1, 2009 Accepting new patients

Locations

1409 S Graham Rd
Flint, MI 48532
Phone (810) 235-2599

2222 S Linden Rd
Flint, MI 48532
Phone (810) 230-8800

2222 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-0790

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1031 Suncrest Dr
Lapeer, MI 48446
Phone (810) 664-4870

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: aalawwa1159369@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIABCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIABCD/Endpoint/FIABCD

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1013904093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136",
            "telephone_number": "810-664-4870",
            "fax_number": "810-664-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136",
            "telephone_number": "810-664-4870",
            "fax_number": "810-664-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAWWA",
        "first_name": "ABDUL",
        "middle_name": "KADAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301075273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4909961",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4906164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.