Eduardo Abellana, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301049903 Issued in MI

Practice address

11180 Gratiot Ave
Siute C
Detroit, MI 48213-1363

Phone

(313) 372-7111

Fax

(313) 372-5509

NPI assigned

Aug 18, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Health Centers Detroit Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1518026541
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1215929906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27774 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342352",
            "telephone_number": "248-356-5555",
            "fax_number": "248-356-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 GRATIOT AVE",
            "address_2": "SIUTE C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131363",
            "telephone_number": "313-372-7111",
            "fax_number": "313-372-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLANA",
        "first_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301049903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4079134-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abel Tsehay Abebe, MD
• Serkalem Getewey Abebe, MD
• Ali Hameed Abed, PHARMD
• Mohammad Abedaljawad
• Michelle Buda Abela, PHD
• Max Joseph Abelman, M. A., L. L. P.
• Marian Abernathy
• Nassif Abi-Samra Jr.
• Aiden Abidov, MD, PHD
• Ability Homecare of Mi LLC

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.