Organization Active NPI

Ahmad Abdel-Halim, M.D., PLLC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1235441387
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301083214 Issued in MI
Legal business name
AHMAD ABDEL-HALIM, M.D., PLLC
Practice address
G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone
(810) 234-1651
Fax
(810) 234-5959
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Ahmad Wagih Abdel-Halim, M.D.NPI 1649312828
Title
President
Phone
(810) 429-7075

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301083214 MI Primary

Addresses

Primary practice location

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453

Mailing address

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone (810) 234-1651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110214000282 MI Part B Supplier - Clinic/Group Practice 9436339132 Receives reassigned benefits from 5 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

G1071 N Ballenger Hwy
#311
Flint, MI 48504
Phone (810) 221-7057

2284 S Ballenger Hwy
Ste H
Flint, MI 48503
Phone (810) 221-7057

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1235441387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD ABDEL-HALIM, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "ABDEL-HALIM",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "WAGIH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-429-7075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.