Individual provider Active NPI

Arsala Bakhtyar, M.D.

  • Pediatrics Physician
  • Dearborn, MI
National Provider Identifier
1164623823
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301089589 Issued in MI
Practice address
18181 Oakwood Blvd Ste 401
Dearborn, MI 48124-5031
Phone
(313) 593-7240
Fax
(313) 593-8899
NPI assigned
May 30, 2007
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 4301089589 MI
Pediatrics Physician 208000000X 4301089589 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 401
Dearborn, MI 48124-5031

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abakhtyar119893@direct.beaumont.edu Direct

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
I20120316000604 MI Practitioner - Pediatric MedicinePractitioner - Infectious Disease 4284893827 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Pediatrics CurrentSince Jan 27, 2014 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jan 27, 2014 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Healthcare, Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Youth Programs, LLC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

15500 Lundy Pkwy
Dearborn, MI 48126
Phone (313) 586-5011

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

18181 Oakwood Blvd
Ste 401
Dearborn, MI 48124
Phone (313) 593-7240

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: abakhtyar119893@direct.beaumont.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1164623823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 401",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-593-7240",
            "fax_number": "313-593-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTYAR",
        "first_name": "ARSALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MI",
            "license": "4301089589",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301089589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abakhtyar119893@direct.beaumont.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18181 Oakwood Blvd Ste 401",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481245031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.