NPIMap

Individual provider Active NPI

Malaz Alatassi, M.D.

  • Internal Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1023069770
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
430108049 Issued in MI
Practice address
50505 Schoenherr Rd Ste 340
Shelby Township, MI 48315-3140
Phone
(586) 731-8400
Fax
(586) 731-8406
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301080495 MI
Internal Medicine Physician 207R00000X 430108049 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd Ste 340
Shelby Township, MI 48315-3140

Mailing address

50505 Schoenherr Rd Ste 340
Shelby Township, MI 48315-3140
Phone (586) 731-8400

Other identifiers 1

IdentifierTypeStateIssuer
4530883MedicaidMI

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
I20040211000826 MI Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Hospitalist 3678467578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLC 600 clinicians
Karle Medical Group PC 6 clinicians

Practice addresses (Care Compare)

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

455 Barclay Cir
Suite D
Rochester Hills, MI 48307-4774
Phone (248) 852-9596

Hospital & facility affiliations

  • Amber Home Health Care, Inc Home health agency, Southfield, MI, CCN 237527
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • The Care Team Hospice Hospice, Flint, MI, CCN 231648
  • Assured Hospice Care, Inc Hospice, Southfield, MI, CCN 231626
  • Seasons Hospice & Palliative Care of Michigan Hospice, Madison Heights, MI, CCN 231601
  • Premier Hospice Hospice, Troy, MI, CCN 231623
  • Beaumont Hospice Hospice, Troy, MI, CCN 231574
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Regency at Shelby Township Nursing home, Shelby Township, MI, CCN 235710
  • The Springs at Rochester Hills Rehab and Nursing C Nursing home, Rochester Hills, MI, CCN 235036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430108049MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karle Medical Group, P.C. Internal Medicine CurrentSince Apr 17, 2017 Accepting new patients
Primary Medicine PC Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Emad Alatassi MD, P.C. Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Mahmoud Alhadidi MD PC Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Springs at Rochester Hills Rehab and Nursing Center Past Accepting new patients
Medilodge of Rochester Hills Inc Past Accepting new patients
Shelby Township Care Center, LLC Past Accepting new patients

Locations

1480 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 651-4422

455 Barclay Cir
Ste D
Rochester Hills, MI 48307
Phone (248) 852-9596

18263 E 10 Mile Rd
Ste D
Roseville, MI 48066
Phone (586) 238-2059

45634 Schoenherr Rd
Utica, MI 48315
Phone (586) 532-8440

Interoperability endpoints

  • Direct secure messaging: malazalatassi@kmgpc.allscriptsdirect.net
  • Direct secure messaging: malatassi1159364@direct.hfhs.org
  • Direct secure messaging: malatassi535689@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regency at Shelby TownshipShelby Township, MI, CCN 235710 Skilled nursing facility Adp of the SNF Jan 1, 2025
The Springs at Rochester Hills Rehab and Nursing CenterRochester Hills, MI, CCN 235036 Skilled nursing facility Contracted Managing Employee Jul 31, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1023069770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 340",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-731-8400",
            "fax_number": "586-731-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 340",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-731-8400",
            "fax_number": "586-731-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALATASSI",
        "first_name": "MALAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301080495",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "430108049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4530883",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.