Muwaffak Mohammad Abdulhak, M.D
Individual provider Active NPI Specialist · Detroit, MI
NPI 1104089499 · NPPES record last updated Oct 27, 2014
Key facts
- NPI
- 1104089499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 381357020N (MI)
- Practice address
- 2799 West Grand Blvd. K-11
Henry Ford Hospital
Detroit, MI 48202 - Phone
- (313) 916-2682
- Fax
- (313) 916-7139
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health System
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 876-2241
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Health Hospital
- Wyandotte Hospital and Medical Center
- Henry Ford Macomb Hospital
- Henry Ford Health West Bloomfield Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 246 |
| Laminectomy or laminotomy (partial removal of spine bones) | 62 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081107000347 | MI | Practitioner - Neurosurgery | 0840359683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Health System | Past | Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
#5
Detroit, MI 48202
Phone (313) 916-2710
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2799 W Grand Blvd
#K11
Detroit, MI 48202
Phone (313) 916-2241
Interoperability endpoints
- mabdulhak16738@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 381357020N | MI | Yes |
Addresses
Primary practice location
2799 West Grand Blvd. K-11
Henry Ford Hospital
Detroit, MI 48202
Mailing address
2799 West Grand Blvd. K-11
Henry Ford Hospital
Detroit, MI 48202
Phone (313) 916-2682
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104323153 | Medicaid | MI |
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.