Active NPI
Abdul H Bahrainwala, M.D.
- Allergy & Immunology Physician
- Royal Oak, MI
National Provider Identifier
1265465769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 059947
- Practice address
- 3600 W 13 Mile Rd
Royal Oak, MI 48073-6711 - Phone
- (248) 549-0777
- Fax
- (248) 549-5888
- NPI assigned
- Jul 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 059947 | MI | Primary |
Addresses
Primary practice location
3600 W 13 Mile Rd
Royal Oak, MI 48073-6711
Mailing address
3600 W 13 Mile Rd
Royal Oak, MI 48073-6711
Phone (248) 549-0777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4620748 | Medicaid | MI | |
| 3508285581 | Other | MI | BLUE CROSS |
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
- Allergy/Immunology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 W 13 Mile Rd
Royal Oak, MI 48073-6711
Phone (248) 549-0777
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.1 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059947 | MI | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Associates of Mi PC | Allergy & Immunology | Current | Accepting new patients |
| Allergy & Asthma Physicians of Royal Oak PC | Allergy & Immunology | Past | Accepting new patients |
Locations
20228 Farmington Rd
Bldg 5
Livonia, MI 48152
Phone (248) 478-5221
3600 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 549-0777
43200 Dequindre Rd
Ste 101
Sterling Hts, MI 48314
Phone (586) 323-2600
Interoperability endpoints
- bahrainwala.abdul.007.0220031@aaam.meditab.direct-ci.com
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Royal Oak, MI
- NPI 1871526459
-
- Allergy & Immunology Physician
- Royal Oak, MI
- NPI 1942362694
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265465769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736711",
"telephone_number": "248-549-0777",
"fax_number": "248-549-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736711",
"telephone_number": "248-549-0777",
"fax_number": "248-549-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHRAINWALA",
"first_name": "ABDUL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "059947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4620748",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3508285581",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.