Individual provider Active NPI

Jowher Khaleel, M.D.

  • Cardiovascular Disease Physician
  • Livonia, MI
National Provider Identifier
1174571947
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301046501 Issued in MI
Practice address
20000 Farmington Rd
BLDG E
Livonia, MI 48152-1408
Phone
(248) 474-1144
Fax
(248) 474-1548
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301046501 MI Primary

Addresses

Primary practice location

20000 Farmington Rd
BLDG E
Livonia, MI 48152-1408

Mailing address

20000 Farmington Rd
BLDG E
Livonia, MI 48152-1408
Phone (248) 474-1144

Other identifiers 1

IdentifierTypeStateIssuer
2575509MedicaidMI

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
I20080516000307 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113096116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20000 Farmington Rd
BLDG E
Livonia, MI 48152-1408
Phone (248) 474-1144

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices CurrentSince Jul 1, 2017 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Nov 27, 2011 Accepting new patients
Medical Diagnostic Services Inc CurrentSince Jul 10, 2007 Accepting new patients
Jowher Khaleel MD PC CurrentSince Dec 3, 2010 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Nov 27, 2011 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Jul 1, 2017 Accepting new patients
Prime Health Care PC Past Accepting new patients

Locations

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

20000 Farmington Rd
Bldg E
Livonia, MI 48152
Phone (248) 474-1144

4479 Pontiac Lake Rd
Ste 1D
Waterford, MI 48328
Phone (248) 499-7618

Organizations & group practices 9

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 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1174571947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 FARMINGTON RD",
            "address_2": "BLDG E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-474-1144",
            "fax_number": "248-474-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 FARMINGTON RD",
            "address_2": "BLDG E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-474-1144",
            "fax_number": "248-474-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEEL",
        "first_name": "JOWHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301046501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2575509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.