Hiba Jawadi
Individual provider Active NPI Family Medicine Physician · Brownstown TWP, MI
NPI 1235699604 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1235699604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301508061 (MI)
- Practice address
- 23050 West Rd Ste 240
Brownstown TWP, MI 48183-1473 - Phone
- (734) 281-4197
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Wyandotte Hospital
Practice addresses (Care Compare)
2070 Biddle Ave
Suite 2
Wyandotte, MI 48192-4080
Phone (734) 282-2020
7226 Allen Rd
Allen Park, MI 48101-2060
Phone (313) 383-5530
Hospital & facility affiliations
- Henry Ford Home Health Care
- Wyandotte Hospital and Medical Center
- Henry Ford Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221025000347 | MI | Practitioner - Family Practice | 9739555277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301508061 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Wyandotte Hospital | Current |
Accepting new patients | |
| Henry Ford Wyandotte Hospital | Family Medicine | Current |
Accepting new patients |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Past | Accepting new patients |
Locations
7226 Allen Rd
Allen Park, MI 48101
Phone (313) 383-5530
23050 West Rd
Ste 260
Brownstown Twp, MI 48183
Phone (734) 284-4309
23050 West Rd
Ste 240
Brownstown Twp, MI 48183
Phone (734) 281-4197
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
Interoperability endpoints
- hjawadi558866@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 4301508061 | MI | Yes |
Addresses
Primary practice location
23050 West Rd Ste 240
Brownstown TWP, MI 48183-1473
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
3231 Euclid Ave Fl 5
Berwyn, IL 60402-4603
Phone (708) 783-2000
Other providers in Brownstown TWP, MI
- Iq Business Academy
- Iqbal a Nasir MD PC
- Hassan Jafer
- Syed Sadiq Mohammed Jafri
- James W Hill
- Derek Alan Johnson
- Thomas Edgar Johnson
- Junita Bahroos, DDS
- Diane Jean Kaip
- Kamal Gupta, M.D. P.C.
All providers in Brownstown TWP, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.