Individual provider Active NPI

Moumen Asbahi, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Troy, MI
National Provider Identifier
1073744827
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
4301103341 Issued in MI
Practice address
1719 W Big Beaver Rd
Troy, MI 48084-3510
Phone
(248) 458-0400
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 4301103341 MI Primary
Anesthesiology Physician 207L00000X 4301103341 MI

Addresses

Primary practice location

1719 W Big Beaver Rd
Troy, MI 48084-3510

Mailing address

4563 Chelsea LN
Bloomfield Hills, MI 48301-3617
Phone (248) 767-9476

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address masbahi463095@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140403000512 MI Practitioner - Anesthesiology 6800027988 Reassigns benefits to 4 organizations
I20250414002880 IL Practitioner - Anesthesiology 6800027988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (214) 687-0001

4800 S Saginaw St
Flint, MI 48507-2677

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah, MD PC CurrentSince Jan 24, 2025 Accepting new patients
Jawad a Shah MD PC CurrentSince Jan 24, 2025 Accepting new patients
Insight Chicago, Inc. Anesthesiology CurrentSince Mar 19, 2025 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Jan 21, 2021 Accepting new patients
Insight Chicago, Inc. CurrentSince Mar 19, 2025 Accepting new patients
William Beaumont Hospital CurrentSince May 1, 2017 Accepting new patients
William Beaumont Hospital CurrentSince May 1, 2017 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Feb 24, 2018 Accepting new patients
American Anesthesiology Associates of Michigan, PC Anesthesiology Past Accepting new patients
Jawad a Shah MD PC Past Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

3601 W 13 Mile Rd
Royal Oak, MI 48073

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: masbahi463095@direct.beaumont.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1073744827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4563 CHELSEA LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013617",
            "telephone_number": "248-767-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843510",
            "telephone_number": "248-458-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASBAHI",
        "first_name": "MOUMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MI",
            "license": "4301103341",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301103341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "masbahi463095@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.