NPIMap

Individual provider Active NPI

Basma J Alobahi

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1023674348
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6100 Dorothy St
Detroit, MI 48211-1566
Phone
(313) 921-5881
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6100 Dorothy St
Detroit, MI 48211-1566

Mailing address

5143 Lonyo St
Detroit, MI 48210-2152

Other practice location 1

10326 W Warren Ave
Dearborn, MI 48126-1659
Phone (313) 581-2064

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
I20241025000096 MI Practitioner - Physician Assistant 6204369531 Reassigns benefits to 13 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HMC Group Past Accepting new patients
Doctors Urgent Care Southfield Past Accepting new patients
Childrens Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: balobahi520765@direct.hfhs.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1023674348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 LONYO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DOROTHY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482111566",
            "telephone_number": "313-921-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10326 W Warren Ave",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481261659",
            "country_code": "US",
            "telephone_number": "313-581-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALOBAHI",
        "first_name": "BASMA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.