Wassan Jawad Kadhim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301510780 Issued in MI

Practice address

21811 Kelly Rd
Eastpointe, MI 48021-2704

Phone

(586) 649-3388

Fax

(586) 842-3766

NPI assigned

May 13, 2021

Last updated

May 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Dedicated Physicians Group of Michigan, PLLC

  dba Dedicated Senior Medical Center

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1992392393

  MI

  Medicare reassignment NPD
• Dedicated Physicians Group of Michigan PLLC

  dba Dedicated Senior Medical Center Eastpointe

  • Non-Pharmacy Dispensing Site
  • Eastpointe, MI
  • NPI 1730754656
  NPD
• Dedicated Physicians Group of Michigan PLLC

  dba Dedicated Senior Medical Center Detroit East

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1043884257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21811 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212704",
            "telephone_number": "586-649-3388",
            "fax_number": "586-842-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21811 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212704",
            "telephone_number": "586-649-3388",
            "fax_number": "586-842-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADHIM",
        "first_name": "WASSAN",
        "middle_name": "JAWAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301510780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jost, D.D.S.
• Danielle Joyce
• Daryl Kenneth Joyner Jr.
• JRS Psychological Services PC
• K Kapordelis MD PLLC
• Konstantinos Kapordelis, MD
• Jawad Alam Karam
• Kenneth Karamon, RPH
• Robert J Karle, LMSW
• Sarah Karra-Aly, OD

• Internal Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.