Organization Active NPI

Bishr Ujayli MD PC

  • Infectious Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1073628566
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BISHR UJAYLI MD PC
Practice address
1349 S. Rochester Road
Suite 115
Rochester Hills, MI 48307-3817
Phone
(248) 759-4852
Fax
(248) 299-9860
NPI assigned
Aug 21, 2006
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Bishr A. Al-Ujayli, M.D.NPI 1790797355
Title
President
Phone
(248) 759-4852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary
Adult Health Nurse Practitioner 363LA2200X NU

Addresses

Primary practice location

1349 S. Rochester Road
Suite 115
Rochester Hills, MI 48307-3817

Mailing address

1349 S. Rochester Road
Suite 115
Rochester Hills, MI 48307-3817
Phone (248) 759-4852

Other identifiers 2

IdentifierTypeStateIssuer
DD1665OtherMEDICARE RAILROAD
0F32901OtherMIBLUE CROSS BLUE SHIELD GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041111001050 MI Part B Supplier - Clinic/Group Practice 0042274847 Receives reassigned benefits from 5 practitioners
Practice locations: Warren, MI; Troy, MI; Sterling Heights, MI; Roseville, MI; Rochester Hills, MI; Madison Heights, MI; Rochester, MI; Detroit, MI…

National Provider Directory

National Provider Directory

Locations

1349 S Rochester Rd
Ste 115
Rochester Hills, MI 48307
Phone (248) 299-9850

2494 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 299-9850

21420 Harper Ave
Ste 3
Saint Clair Shores, MI 48080
Phone (586) 776-7950

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1073628566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S. ROCHESTER ROAD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S. ROCHESTER ROAD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHR UJAYLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "AL-UJAYLI",
        "authorized_official_first_name": "BISHR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-759-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD1665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP",
            "identifier": "0F32901",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.