NPIMap

Individual provider Active NPI

Talal Taher Khader, M.D

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1033314513
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301088575 Issued in MI
Practice address
16001 W 9 Mile Rd
4TH FL Fisher Ctr
Southfield, MI 48075-4818
Phone
(248) 849-8483
NPI assigned
Jun 15, 2007
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301088575 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
4TH FL Fisher Ctr
Southfield, MI 48075-4818

Mailing address

6878 Abington Ave
Detroit, MI 48228-4716
Phone (818) 919-6633

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
I20101018001177 MI Practitioner - Internal Medicine 2668665068 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pelham Primary Care PCGroup PAC ID 0446524649, 6 clinicians

Practice addresses (Care Compare)

3815 Pelham St
Dearborn, MI 48124-3852
Phone (313) 789-7636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088575MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Kalamazoo Inc CurrentSince Oct 1, 2015 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Pelham Primary Care PC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Oct 1, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 1, 2018 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Faith Medical PLLC CurrentSince May 17, 2025 Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

3815 Pelham St
Ste 5
Dearborn, MI 48124
Phone (313) 624-8400

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

21840 23 Mile Rd
Macomb, MI 48042
Phone (586) 213-1492

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1033314513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6878 ABINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284716",
            "telephone_number": "818-919-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "address_2": "4TH FL FISHER CTR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADER",
        "first_name": "TALAL",
        "middle_name": "TAHER",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.