Imad Issawi, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301406524 Issued in MI

Practice address

6122 W Pierson Rd
Unit 1
Flushing, MI 48433-3104

Phone

(810) 600-3399

Fax

(810) 600-3398

NPI assigned

Mar 7, 2006

Last updated

Jun 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Cardiovascular Disease (Cardiology)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Cardiovascular Clinic PCGroup PAC ID 7911056882, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
• McLaren Flint Hospital, Flint, MI, CCN 230141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iissawi1132990@direct.hfhs.org
• Direct secure messaging: iissawi14371@direct.hurleymc.com

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.

• Advanced Cardiovascular Clinic PC

  • Clinic/Center
  • Flushing, MI
  • NPI 1104067487
  Medicare reassignment Care Compare group NPD
• Advanced Cardiovascular Clinic PC

  • Cardiac Rehabilitation Clinic/Center
  • Flushing, MI
  • NPI 1912549056
  NPD

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

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation
• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1174590228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 W PIERSON RD",
            "address_2": "UNIT 1",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333104",
            "telephone_number": "810-600-3399",
            "fax_number": "810-600-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 W PIERSON RD",
            "address_2": "UNIT 1",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333104",
            "telephone_number": "810-600-3399",
            "fax_number": "810-600-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSAWI",
        "first_name": "IMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301406524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "1042237",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174590228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent A Hughes, LMSW
• Arielle Hulse
• Ideal Pharmacy Inc (ideal pharmacy)
• Inch by Inch Therapy Services LLC
• Danielle Inch, LMSW
• J E Laird 1 LLC
• James H Dearlove DCSW, PC
• James K. Cantwil DDS, PLC
• Karah Jarman
• Jeffrey T Straley PC

• Cardiovascular Disease Physician in Flushing, MI
• Providers in Flushing, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.