Active NPI
Thamer Medical PLLC
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1194135186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301080367
- Legal business name
- THAMER MEDICAL PLLC
- Practice address
- 2040 Monroe St
Suite 206
Dearborn, MI 48124-2950 - Phone
- (313) 561-8796
- Fax
- (313) 561-0277
- NPI assigned
- Apr 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jawad Thamer
- Title
- Owner Physician
- Phone
- (313) 561-8796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301080367 | MI | Primary |
Addresses
Primary practice location
2040 Monroe St
Suite 206
Dearborn, MI 48124-2950
Mailing address
2040 Monroe St
Suite 206
Dearborn, MI 48124-2950
Phone (313) 561-8796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2081227 | Thamer Medical PLLC | Certificate of waiver | Jul 21, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1972573731
-
- Family Nurse Practitioner
- Dearborn, MI
- NPI 1548842123
-
- Family Nurse Practitioner
- Dearborn, MI
- NPI 1033821996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1194135186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 MONROE ST",
"address_2": "SUITE 206",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242950",
"telephone_number": "313-561-8796",
"fax_number": "313-561-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 MONROE ST",
"address_2": "SUITE 206",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242950",
"telephone_number": "313-561-8796",
"fax_number": "313-561-0277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAMER MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "THAMER",
"authorized_official_first_name": "JAWAD",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "313-561-8796",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301080367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.