Individual provider Active NPI

Hassan Makki

  • Pulmonary Disease Physician
  • Detroit, MI
National Provider Identifier
1104864784
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301061737 Issued in MI
Practice address
6071 W Outer Dr
Suite M444
Detroit, MI 48235-2624
Phone
(313) 966-3075
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X HM061737 MI
Pulmonary Disease Physician 207RP1001X 4301061737 MI Primary

Addresses

Primary practice location

6071 W Outer Dr
Suite M444
Detroit, MI 48235-2624

Mailing address

PO Box 321061
Detroit, MI 48232-1061
Phone (248) 543-8070

Other identifiers 1

IdentifierTypeStateIssuer
4196856MedicaidMI

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
I20100115000531 MI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8820130792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-4946

Hospital & facility affiliations

  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HM061737MIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Haapaniemi& Barry Lesser PTR,Haapaniemi Lesser Associated Pulmonary Disease CurrentSince Jul 1, 2000 Accepting new patients
Grace University Medical Group Past Accepting new patients

Locations

6071 W Outer Dr
Ste M444
Detroit, MI 48235
Phone (313) 966-3075

6071 W Outer Dr
Ste 444
Detroit, MI 48235

6071 W Outer Dr
#M444
Detroit, MI 48235

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

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 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1104864784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321061",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482321061",
            "telephone_number": "248-543-8070",
            "fax_number": "248-543-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "address_2": "SUITE M444",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKI",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "HM061737",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301061737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4196856",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.