Individual provider Active NPI

Karimah Amatuallah Joseph, M.D.

  • Family Medicine Physician
  • Oak Park, MI
National Provider Identifier
1114076056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KJ062703 Issued in MI
Practice address
21700 Greenfield Rd
226
Oak Park, MI 48237-2581
Phone
(248) 968-0349
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 KJ062703 MI Primary

Addresses

Primary practice location

21700 Greenfield Rd
226
Oak Park, MI 48237-2581

Mailing address

PO Box 1734
Dearborn, MI 48121-1734
Phone (248) 968-0349

Other identifiers 1

IdentifierTypeStateIssuer
4291944MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KJ062703MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Administrative Management Solutions LLC Past Accepting new patients
Surburban LLC Family Medicine Past Accepting new patients
Neighborhood Home Care PastSince Dec 3, 2003 Accepting new patients
Virginia Park Medical Services PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114076056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1734",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211734",
            "telephone_number": "248-968-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "226",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "248-968-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KARIMAH",
        "middle_name": "AMATUALLAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KJ062703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4291944",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.