Individual provider Active NPI

Abeer S Fayyad, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1093704785
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071839 Issued in MI
Practice address
5095 W Bristol Rd
Flint, MI 48507-2971
Phone
(810) 875-9129
Fax
(810) 407-6934
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 4301071839 MI Primary

Addresses

Primary practice location

5095 W Bristol Rd
Flint, MI 48507-2971

Mailing address

5095 W Bristol Rd
Flint, MI 48507-2971
Phone (810) 875-9129

Other identifiers 12

IdentifierTypeStateIssuer
7678277OtherMIAETNA
110B510530OtherMIBLUE CARE NETWORK
1102505941OtherMIBLUE CROSS BLUE SHIELD
1002798OtherMIMCLAREN HEALTH PLAN
110B510530OtherMIBLUE CROSS BLUE SHIELD
4499237MedicaidMI
0993593OtherMIHEALTH PLUS OF MI
1002798OtherMIHEALTH ADVANTAGE NETWORK
C8137OtherMIMCARE
CD3610/P00107418OtherMIMETRAHEALTH
H50166OtherMIHEALTH ALLIANCE PLAN
H50166OtherMIHEALTH NET FEDERAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000033 MI Practitioner - Internal Medicine 2264572924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Health Center PCGroup PAC ID 1456483668, 2 clinicians

Practice addresses (Care Compare)

4085 S Ctr Rd
Burton, MI 48519-1957
Phone (810) 715-3049

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Health Center PC Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients
McLaren Flint Past Accepting new patients
Family Urgent Care PLLC PastSince Jan 1, 2021 Accepting new patients

Locations

4085 S Center Rd
Burton, MI 48519
Phone (810) 715-3049

5095 W Bristol Rd
Ste A
Flint, MI 48507
Phone (810) 265-7034

5095 W Bristol Rd
Flint, MI 48507
Phone (810) 720-1790

5095 W Bristol Rd
Ste B
Flint, MI 48507
Phone (810) 252-8320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBJAD/Endpoint/HEBJAD
  • Direct secure messaging: abeer.fayyad@imhcpc.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1093704785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072971",
            "telephone_number": "810-875-9129",
            "fax_number": "810-407-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072971",
            "telephone_number": "810-875-9129",
            "fax_number": "810-407-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYYAD",
        "first_name": "ABEER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7678277",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1102505941",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1002798",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4499237",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "0993593",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE NETWORK",
            "identifier": "1002798",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C8137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH",
            "identifier": "CD3610/P00107418",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "H50166",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FEDERAL",
            "identifier": "H50166",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.