Ammar Wadi Alkhafaji, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4351046951APP20 Issued in MI

Practice address

22250 Providence Dr Ste 301
Southfield, MI 48075-6211

Phone

(248) 849-3281

NPI assigned

Jun 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden City Medical Center, P.C.Group PAC ID 5092811315, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Garden City Medical Center, P.C.

  • Family Medicine Physician
  • Garden City, MI
  • NPI 1285781393
  Medicare reassignment Care Compare group NPD
• Elite Medical Group PC

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1801637293
  Medicare reassignment NPD
• Garden City Medical Center, P.C.

  • Urgent Care Clinic/Center
  • Garden City, MI
  • NPI 1467633412
  NPD
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1164047932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756211",
            "telephone_number": "248-849-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756211",
            "telephone_number": "248-849-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHAFAJI",
        "first_name": "AMMAR",
        "middle_name": "WADI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351046951APP20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akram Aljumail, DPM
• Danya Alkahwaji, DO
• Omar Alkawasmie
• Alkebulans Counseling & Group Services LLC
• Qasim Kadhim Alkhafaf, MD
• All Aboard Supports & Services
• All American Rehab Care
• All Community Home Care Service,Inc
• All Doctors on Call, PC
• All in One Therapy

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, 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 Jun 8, 2020; 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.
• 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.