Yassir Attalla PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

YA048664 Issued in MI

Legal business name

YASSIR ATTALLA PLLC

Practice address

15450 Northline Rd Ste 102
Southgate, MI 48195-2490

Phone

(734) 282-2020

Fax

(734) 282-2002

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Yassir A Attalla, M.D.NPI 1174550974

Title

Authorized Official

Phone

(313) 399-3477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yassir Attalla, M.D.

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1174550974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063625671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD STE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952490",
            "telephone_number": "734-720-7270",
            "fax_number": "734-288-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD STE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952490",
            "telephone_number": "734-282-2020",
            "fax_number": "734-282-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASSIR ATTALLA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ATTALLA",
        "authorized_official_first_name": "YASSIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-399-3477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "YA048664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4995674",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim M Wysner, PTA
• Katelyn Marie Yaczik
• Petronio C Yadao, M.D.
• Ramalingeswara R. Yalamanchi, M.D.
• Alexandria Yanna
• Wain Lem Yeung
• Judy Younce-Johnson, MA
• Lois Young
• Sarah Elizabeth Young, LMSW
• Geraldine Yount, MA

• Internal Medicine Physician in Southgate, MI
• Providers in Southgate, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.