NPIMap

Individual provider Active NPI

Wahed Ishaqsei, M.D.

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1063423176
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4030080522 Issued in MI
Practice address
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone
(586) 778-4950
Fax
(586) 778-4952
NPI assigned
Aug 11, 2006
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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 4030080522 MI Primary

Addresses

Primary practice location

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805

Mailing address

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone (586) 778-4950

Other identifiers 4

IdentifierTypeStateIssuer
700E012740OtherMIBCBSM GROUP NUMBER
5212168MedicaidMI
5223439MedicaidMI
WI080522OtherMIMI LICENSE

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
I20070102000139 MI Practitioner - Internal Medicine 8527068360 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Internists PLLCGroup PAC ID 0143477091, 2 clinicians

Practice addresses (Care Compare)

18263 E 10 Mile Rd
Suite E
Roseville, MI 48066-5805
Phone (586) 552-8696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
81.2
Improvement activities
40
Cost
62.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4030080522MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Aug 1, 2016 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Ishaqsei MD PLLC Internal Medicine CurrentSince Jan 17, 2017 Accepting new patients
Great Lakes Medicine, PLC Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Henry Ford Cornerstone Medical Group Current Accepting new patients
Lakeside Manor Nursing & Rehabilitation Center LLC Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Cottab Medical Group, PLLC Internal Medicine Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Warren Opco, LLC Past Accepting new patients
Father Murray Nursing and Rehabilitation Centre Past Accepting new patients
Ascension Medical Group Michigan Past Accepting new patients
Regency Manor Nursing & Rehabilitation Center LLC Past Accepting new patients

Locations

1746 Momentum Pl
Chicago, IL 60689

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

18263 E 10 Mile Rd
Ste E
Roseville, MI 48066
Phone (586) 552-8696

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

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

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: wahed.ishaqsei.1@24381.direct.athenahealth.com
  • Direct secure messaging: wishaqsei1132954@direct.hfhs.org

Organizations & group practices 15

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 15

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1063423176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-778-4950",
            "fax_number": "586-778-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-778-4950",
            "fax_number": "586-778-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAQSEI",
        "first_name": "WAHED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4030080522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5212168",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5223439",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "WI080522",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.