NPIMap

Individual provider Active NPI

Fouad Batah, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1285618983
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060202 Issued in MI
Practice address
29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone
(248) 354-0730
Fax
(248) 354-1652
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060202 MI Primary

Addresses

Primary practice location

29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659

Mailing address

29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone (248) 354-0730

Other identifiers 5

IdentifierTypeStateIssuer
1285618983MedicaidMI
103243OtherMIGREAT LAKES HEALTH PLAN
0632811OtherMIBCBS INDVIDUAL
700F314390OtherMIBLUE SHIELD
F253OtherMIM'CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000841 MI Practitioner - Internal Medicine 4789581349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2033 Crooks Rd
Royal Oak, MI 48073-4049
Phone (248) 543-2000

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone (248) 354-0730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301060202MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Premier Geriatrics PLLC Internal Medicine CurrentSince Oct 7, 2013 Accepting new patients
Evergreen Health and Rehabilitation Center, LLC Past Accepting new patients
MMG 1 PC Internal Medicine Past Accepting new patients
Physicians at Home P.C. Internal Medicine PastSince May 1, 2001 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Fouad Batah, M.D., P.L.L.C Internal Medicine Past Accepting new patients

Locations

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

25241 Grand River Ave
Redford, MI 48240
Phone (313) 538-3099

28625 Northwestern Hwy
Ste 213
Southfield, MI 48034
Phone (248) 354-9666

29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730

29877 Telegraph Rd
Ste 2
Southfield, MI 48034

29877 Telegraph Rd
Ste 401
Southfield, MI 48034
Phone (248) 354-0730

Interoperability endpoints

  • Direct secure messaging: fouad.batah.1@11987.direct.athenahealth.com
  • Direct secure messaging: fbatah1116557@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1285618983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347659",
            "telephone_number": "248-354-0730",
            "fax_number": "248-354-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347659",
            "telephone_number": "248-354-0730",
            "fax_number": "248-354-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATAH",
        "first_name": "FOUAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285618983",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "103243",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDVIDUAL",
            "identifier": "0632811",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F314390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M'CARE",
            "identifier": "F253",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.