Active NPI
Jawad Al-Khafaji, MD
- Internal Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301114017
- Practice address
- 2215 Fuller Rd
Ann Arbor, MI 48105-2303 - Phone
- (734) 769-7100
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301114017 | MI | Primary |
Addresses
Primary practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1500 East Medical Center Dr
3rd floor Taubman Ctr Recp 'B'
Ann Arbor, MI 48109-5352
Phone (734) 936-5582
Other names 1
- Dr. Jawad Thamer Jawad Al-Khafaji
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301114017 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Internal Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Internal Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
Fl 3
Ann Arbor, MI 48109
Phone (734) 647-5944
2215 Fuller Rd
Ann Arbor, MI 48105
Phone (734) 845-5290
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Hospitalist Physician
- Ann Arbor, MI
- NPI 1497295489
Internal Medicine
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1063700128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303",
"telephone_number": "734-769-7100"
}
],
"practiceLocations": [
{
"address_1": "1500 East Medical Center Dr",
"address_2": "3rd floor Taubman Ctr Recp 'B'",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095352",
"country_code": "US",
"telephone_number": "734-936-5582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-KHAFAJI",
"first_name": "JAWAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301114017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAWAD",
"last_name": "AL-KHAFAJI",
"middle_name": "THAMER JAWAD",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.