Organization Active NPI

Maha Alhusseini MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Dearborn Heights, MI
National Provider Identifier
1154036077
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MAHA ALHUSSEINI MD PC
Practice address
23801 W Warren St Ste B
Dearborn Heights, MI 48127-2276
Phone
(313) 221-9110
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Maha Alhusseini, MDNPI 1326333493
Title
MD
Phone
(313) 415-5872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

23801 W Warren St Ste B
Dearborn Heights, MI 48127-2276

Mailing address

23801 W Warren St Ste B
Dearborn Heights, MI 48127-2276

Other names 1

  • KBK Endo & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606003540 MI Part B Supplier - Clinic/Group Practice 1557728532 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2310077KBK Endo & Wellness23801 W Warren Suite B, Dearborn Heights, MI 48127Certificate of waiverAug 26, 2026

National Provider Directory

National Provider Directory

Locations

5728 Schaefer Rd
Ste 103
Dearborn, MI 48126
Phone (313) 581-8080

23801 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 221-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1154036077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23801 W WARREN ST STE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23801 W WARREN ST STE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272276",
            "telephone_number": "313-221-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA ALHUSSEINI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ALHUSSEINI",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-415-5872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KBK Endo & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.