Individual provider Active NPI

Bashar Joseph Dawood, MD

  • Family Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1104409952
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301512861 Issued in MI
Practice address
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone
(248) 336-4000
Fax
(248) 336-9137
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301512861 MI Primary

Addresses

Primary practice location

28001 Harper Ave
Saint Clair Shores, MI 48081-1561

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000

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
I20250204003289 MI Practitioner - Family Practice 7618379934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

Practice addresses (Care Compare)

18463 Livernois Ave
Detroit, MI 48221-2254
Phone (313) 861-4400

18591 W 10 Mile Rd
Epic Primary Care PLLC
Southfield, MI 48075-2619
Phone (248) 336-4000

20901 W 7 Mile Rd
Detroit, MI 48219-1904
Phone (313) 564-5510

21501 Kelly Rd
Eastpointe, MI 48021-3213
Phone (248) 336-4000

26300 Woodward Ave
Royal Oak, MI 48067-0917
Phone (248) 336-4000

28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone (248) 336-4000

29829 Telegraph Rd
Southfield, MI 48034-1376
Phone (248) 336-4000

29829 Telegraph Rd
Southfield, MI 48034-7656
Phone (248) 336-4000

3499 S Linden Rd
Suite 2
Flint, MI 48507-3022
Phone (248) 336-4000

4059 W Davison
Detroit, MI 48238-3262
Phone (248) 336-4000

4420 E Davison St
Detroit, MI 48212-1744
Phone (313) 369-1500

911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
Exclusive Physicians PLLC Family Medicine CurrentSince Jan 16, 2025 Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

21501 Kelly Rd
Eastpointe, MI 48021
Phone (586) 498-9200

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

Interoperability endpoints

  • Direct secure messaging: bashar.dawood.1@33060.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1104409952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754020",
            "telephone_number": "248-336-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811561",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "BASHAR",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301512861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.