Individual provider Active NPI

Nashwan Y Yousif, MD

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1124042288
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080432 Issued in MI
Practice address
940 W Avon Rd
Ste 7
Rochester Hills, MI 48307-2760
Phone
(248) 693-8634
Fax
(248) 693-8644
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301080432 MI Primary
Hospitalist Physician 208M00000X 4301080432 MI

Addresses

Primary practice location

940 W Avon Rd
Ste 7
Rochester Hills, MI 48307-2760

Mailing address

PO Box 4304
Troy, MI 48099-4304
Phone (248) 693-8634

Other identifiers 2

IdentifierTypeStateIssuer
4909513-10MedicaidMI
4985103-10MedicaidMI

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
I20060914000182 MI Practitioner - Internal Medicine 9739183278 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Ooma Primary LLCGroup PAC ID 7012316664, 45 clinicians

Practice addresses (Care Compare)

4400 Highland Rd
Waterford, MI 48328-1222
Phone (248) 618-6000

Hospital & facility affiliations

  • Trinity Health at Home- Southeast Michigan Home health agency, Livonia, MI, CCN 237069
  • Tone Home Health Services Home health agency, Farmington Hills, MI, CCN 237634
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080432MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Hospitalist CurrentSince Jun 25, 2007 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Jun 25, 2007 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Sep 1, 2016 Accepting new patients
Iha Ooma Primary LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Iha Ooma Primary LLC Internal Medicine Current Accepting new patients
Seton Health Corporation of Southeastern Michigan Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Iha Ooma Primary LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine Past Accepting new patients
Alaa Owainati MD PC Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1375 S Lapeer Rd
Ste 210
Lake Orion, MI 48360
Phone (248) 693-5700

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

4400 Highland Rd
Waterford, MI 48328
Phone (248) 618-6000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Organizations & group practices 10

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 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1124042288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4304",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480994304",
            "telephone_number": "248-693-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W AVON RD",
            "address_2": "STE 7",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-693-8634",
            "fax_number": "248-693-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSIF",
        "first_name": "NASHWAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080432",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301080432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4909513-10",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4985103-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.