Individual provider Active NPI

Husam Abed, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Southgate, MI
National Provider Identifier
1053332296
Registry record updated Feb 25, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
4301075802 Issued in MI
Practice address
15265 Northline Rd
Southgate, MI 48195-2487
Phone
(734) 589-2166
NPI assigned
Jul 22, 2006
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 4301075802 MI Primary

Addresses

Primary practice location

15265 Northline Rd
Southgate, MI 48195-2487

Mailing address

12025 Ina Dr
Unit 98
Sterling Heights, MI 48312-5055
Phone (248) 635-4911

Other practice location 1

2300 Biddle Ave
Wyandotte, MI 48192-4650
Phone (601) 984-5306

Other practice location 2

2221 Livernois Rd Ste 100
Troy, MI 48083-1603
Phone (734) 589-2166

Other identifiers 1

IdentifierTypeStateIssuer
09857534MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urogynecology Associates P.C. Current Accepting new patients
AMC Mobile Anesthesia, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: habed16974@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1053332296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 INA DR",
            "address_2": "UNIT 98",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125055",
            "telephone_number": "248-635-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15265 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952487",
            "telephone_number": "734-589-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 BIDDLE AVE",
            "address_purpose": "LOCATION",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924650",
            "country_code": "US",
            "telephone_number": "601-984-5306",
            "fax_number": "601-984-6904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Livernois Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831603",
            "country_code": "US",
            "telephone_number": "734-589-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABED",
        "first_name": "HUSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "4301075802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09857534",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.