Unknown Wasim, MBBS/MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4351051792 Issued in MI

Practice address

Corewell Health Beaumont Hospital Royal Oak
3601 West 13 Mile Road, Internal Medicine-Pediatric Res
Royal Oak, MI 48073

Phone

(248) 898-1493

NPI assigned

Aug 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vijaya Ramesh M D P C

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1306147384
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1134902307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 WEST 13 MILE ROAD",
            "address_2": "APARTMENT A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-890-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COREWELL HEALTH BEAUMONT HOSPITAL ROYAL OAK",
            "address_2": "3601 WEST 13 MILE ROAD, INTERNAL MEDICINE-PEDIATRIC RES",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-898-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIM",
        "first_name": "UNKNOWN",
        "credential": "MBBS/MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351051792",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351051792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Therese Warren, MSW
• Samantha Warren, MD
• Vibhangini Sanjay Wasade, M.D.
• Alana Washington
• Tiffany Washington
• Marc Jay Wasser, PA
• Liat Wasserman
• Harry J Wasvary, MD
• Kelli Marie Waters, LLMSW
• Katlyn Watson, LLMSW

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.