Active NPI
Ahmad Issawi, M.D.
- Neurological Surgery Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301109045
- Practice address
- 5315 Elliott Dr Ste 102
Ypsilanti, MI 48197-8634 - Phone
- (734) 434-4110
- Fax
- (734) 528-0987
- NPI assigned
- Jun 24, 2010
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 125058788 | IL | |
| Neurological Surgery Physician | 207T00000X | 4301109045 | MI | Primary |
Addresses
Primary practice location
5315 Elliott Dr Ste 102
Ypsilanti, MI 48197-8634
Mailing address
5315 Elliott Dr Ste 102
Ypsilanti, MI 48197-8634
Phone (734) 434-4110
Other practice location 1
530 NE Glen Oak Ave
Suite 3641
Peoria, IL 61637-0001
Phone (309) 655-2642
Other practice location 2
530 NE Glen Oak Ave
Suite 3641
Peoria, IL 61637-0001
Phone (309) 655-2642
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Missouri, Kansas City, School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2305 Genoa Bus Park Dr
Brighton, MI 48114-7005
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
5301 McAuley Dr
Ypsilanti, MI 48197-1051
5303 Elliott Dr
Suite 202
Ypsilanti, MI 48197-8632
Phone (734) 712-2005
5315 Elliott Dr
Ypsilanti, MI 48197-8634
7575 Grand River Rd
Brighton, MI 48114-9309
Phone (734) 712-7255
Hospital & facility affiliations
- Trinity Health at Home- Southeast Michigan
- Trinity Health Ann Arbor Hospital
- Trinity Health Livingston Hospital
- Chelsea Hospital
- St Joe Mercy Hospital System Livonia
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 173 |
| Laminectomy or laminotomy (partial removal of spine bones) | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Neurological Surgery | Current | Accepting new patients |
| Iha Health Service Corporation | Current | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5315 Elliott Dr
Ste 102
Ypsilanti, MI 48197
Phone (313) 434-4110
Interoperability endpoints
- aissawi36307@direct.trinity-health.org
Organizations & group practices 3
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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba Trinity Health IHA Medical Group Brain & Spine and Interventional Pain
- Neurological Surgery Physician
- Ypsilanti, MI
- NPI 1629726179
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
dba Chelsea Hospital
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
dba St. Joseph Mercy Home Care
- Home Health Agency
- Livonia, MI
- NPI 1508823774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1215248125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 ELLIOTT DR STE 102",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978634",
"telephone_number": "734-434-4110",
"fax_number": "734-528-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 ELLIOTT DR STE 102",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978634",
"telephone_number": "734-434-4110",
"fax_number": "734-528-0987"
}
],
"practiceLocations": [
{
"address_1": "530 NE Glen Oak Ave",
"address_2": "Suite 3641",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616370001",
"country_code": "US",
"telephone_number": "309-655-2642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 NE Glen Oak Ave",
"address_2": "Suite 3641",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616370001",
"country_code": "US",
"telephone_number": "309-655-2642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISSAWI",
"first_name": "AHMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "125058788",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301109045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.