Individual provider Active NPI

Wasfeh Musheinesh, M.D.

  • Emergency Medicine Physician
  • Dearborn, MI
National Provider Identifier
1164785325
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301100909 Issued in MI
Practice address
13846 Wellesley St
Dearborn, MI 48126
Phone
(313) 409-1441
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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 4301100909 MI
Emergency Medicine Physician 207P00000X 4301100909 MI Primary

Addresses

Primary practice location

13846 Wellesley St
Dearborn, MI 48126

Mailing address

455 S York St
Dearborn, MI 48124-1459
Phone (313) 409-1441

Other practice location 1

31690 W 12 Mile Rd
Farmington Hills, MI 48334-4404
Phone (248) 702-0838

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
I20191003000884 MI Practitioner - Emergency Medicine 6002179330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3677 Fort St
Lincoln Park, MI 48146-4116
Phone (313) 515-6507

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100909MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mushienesh Health Services CurrentSince Feb 19, 2023 Accepting new patients
Dr. Wasfeh Musheinesh, P.C. CurrentSince Jan 26, 2022 Accepting new patients
ER Doc Urgent Care PLLC Emergency Medicine CurrentSince Jun 8, 2024 Accepting new patients
Home Health MDS PastSince Dec 1, 2021 Accepting new patients

Locations

3677 Fort St
Lincoln Park, MI 48146
Phone (313) 383-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGIGDD/Endpoint/BGIGDD
  • Direct secure messaging: wasfeh.musheinish.1@16555.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1164785325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S YORK ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241459",
            "telephone_number": "313-409-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13846 WELLESLEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-409-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31690 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483344404",
            "country_code": "US",
            "telephone_number": "248-702-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHEINESH",
        "first_name": "WASFEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100909",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301100909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.