Yassir Attalla, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301048664 Issued in MI

Practice address

15450 Northline Rd Ste 102
Southgate, MI 48195-2490

Phone

(734) 720-7270

Fax

(734) 288-0934

NPI assigned

Jun 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Home Health Home health agency, Troy, MI, CCN 237112
• Custom Home Health Home health agency, Troy, MI, CCN 237707
• Henry Ford Home Health Care Home health agency, Detroit, MI, CCN 237087
• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yattalla13252@direct.hfhs.org

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.

• Yassir Attalla PLLC

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1063625671
  Medicare reassignment NPD Authorized official
• Henry Ford Wyandotte Hospital

  • Clinical Social Worker
  • Wyandotte, MI
  • NPI 1093940272
  Medicare reassignment NPD
• Joseph a. George,MD,PC

  • Primary Care Clinic/Center
  • Lincoln Park, MI
  • NPI 1285800094
  NPD (past)
• Lamis,Inc.

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1487862140
  NPD (past)

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

• Beaumont Ashn, LLC

  dba Beaumont Home Health and Hospice, LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1811461734
  Care Compare affiliation
• Custom Home Health, Inc.

  • Home Health Agency
  • Troy, MI
  • NPI 1346251600
  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• Henry Ford Health System

  dba Henry Ford Home Health Care

  • Home Health Agency
  • Detroit, MI
  • NPI 1932162096
  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  dba Henry Ford Health Center Brownstown

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174550974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952398",
            "telephone_number": "734-282-2020",
            "fax_number": "734-282-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD STE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952490",
            "telephone_number": "734-720-7270",
            "fax_number": "734-288-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTALLA",
        "first_name": "YASSIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Alan Ashby Jr., J.D., B.A., SST
• Katelyn Marie Ashley, M.A., TLLP
• Susan Ashley
• At Home Care, Inc.
• At Home Medical Supply, Inc.
• Ghassan Amir Atto, MD
• Nathan Aubert
• Cheyenne Taylor Lynn Austin, LLBSW
• Tracy Lynette Austin, LLMSW, SST
• Eduardo Avena

• Internal Medicine Physician in Southgate, MI
• Providers in Southgate, 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 Jul 21, 2022; 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.