Individual provider Active NPI

Muhammad A Jabbar, M.D.

  • Pediatric Endocrinology Physician
  • Flint, MI
National Provider Identifier
1194876409
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
4301060671 Issued in MI
Practice address
806 Tuuri PL
Hurley Childrens Clinic
Flint, MI 48503-2465
Phone
(810) 257-9773
Fax
(810) 762-7030
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 4301060671 MI Primary

Addresses

Primary practice location

806 Tuuri PL
Hurley Childrens Clinic
Flint, MI 48503-2465

Mailing address

1085 S Linden Rd
Suite 150
Flint, MI 48532-3421
Phone (810) 262-9773

Other identifiers 1

IdentifierTypeStateIssuer
2878427MedicaidMI

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
I20110921000669 MI Practitioner - EndocrinologyPractitioner - Pediatric Medicine 1850562950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060671MIMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Feb 4, 2017 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Feb 4, 2017 Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

6140 Rashelle Dr
Flint, MI 48507
Phone (810) 262-2330

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

1125 S Linden Rd
Ste 500
Flint, MI 48532
Phone (810) 230-2323

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

Interoperability endpoints

  • Direct secure messaging: mjabbar1814@direct.hurleymc.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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1194876409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 S LINDEN RD",
            "address_2": "SUITE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323421",
            "telephone_number": "810-262-9773",
            "fax_number": "810-262-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 TUURI PL",
            "address_2": "HURLEY CHILDRENS CLINIC",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032465",
            "telephone_number": "810-257-9773",
            "fax_number": "810-762-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBAR",
        "first_name": "MUHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MI",
            "license": "4301060671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2878427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.