Organization Active NPI

Cardiology Consultants of East Michigan PLLC

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1285670299
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC
Practice address
2222 S Linden Rd
Suite a
Flint, MI 48532-5475
Phone
(810) 733-0790
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Abdul Kadar Alawwa, MDNPI 1013904093
Title
Owner
Phone
(810) 664-4870

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2222 S Linden Rd
Suite a
Flint, MI 48532-5475

Mailing address

2222 S Linden Rd
Suite a
Flint, MI 48532-5475
Phone (810) 733-0790

Other identifiers 1

IdentifierTypeStateIssuer
060B514420OtherMIBCBS OF MI GROUP PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000237 MI Part B Supplier - Clinic/Group Practice 5698788099 Receives reassigned benefits from 12 practitioners
Practice locations: Marlette, MI; Lapeer, MI; Flint, MI; Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

4040 S Linden Rd
Flint, MI 48507
Phone (810) 230-0120

1447 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-1986

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIABCD

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1285670299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ALAWWA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "KADAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-664-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI GROUP PIN",
            "identifier": "060B514420",
            "state": "MI"
        }
    ],
    "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 Jun 6, 2023; 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.