Individual provider Active NPI

Pierre Charbel Atallah, M.D.

  • Cardiovascular Disease Physician
  • Rochester, MI
National Provider Identifier
1306158993
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301096302 Issued in MI
Practice address
610 N Main St
Rochester, MI 48307-1487
Phone
(248) 651-9200
Fax
(248) 650-1376
NPI assigned
Jul 12, 2010
Last updated
May 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301096302 MI
Cardiovascular Disease Physician 207RC0000X 4301096302 MI Primary

Addresses

Primary practice location

610 N Main St
Rochester, MI 48307-1487

Mailing address

PO Box 82177
Rochester, MI 48308-2177
Phone (248) 651-9200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001468 MI Practitioner - Cardiovascular Disease (Cardiology) 1557592508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester Diagnostic and Specialty CenterGroup PAC ID 4486602554, 4 clinicians

Practice addresses (Care Compare)

543 N Main St
221 Atallah Vascular
Rochester, MI 48307-1485
Phone (248) 654-8322

610 N Main St
Rochester, MI 48307-1487
Phone (248) 651-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Diagnostic and Specialty Center CurrentSince Apr 20, 2015 Accepting new patients
Rochester Diagnostic and Specialty Center Internal Medicine CurrentSince Apr 20, 2015 Accepting new patients
Requiem, LLC Cardiovascular Disease CurrentSince May 25, 2022 Accepting new patients

Locations

543 N Main St
Rochester, MI 48307
Phone (248) 656-3100

543 N Main St
Ste 221
Rochester, MI 48307
Phone (248) 654-8322

543 N Main St
Ste 321
Rochester, MI 48307

543 N Main St
Ste 421
Rochester, MI 48307
Phone (810) 656-3100

610 N Main St
Rochester, MI 48307
Phone (248) 651-9200

145 S Livernois Rd
Rochester Hills, MI 48307
Phone (248) 726-9745

Interoperability endpoints

  • Direct secure messaging: atallah.pierrec.003.0220012@rdsc.meditab.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1306158993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82177",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483082177",
            "telephone_number": "248-651-9200",
            "fax_number": "248-650-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071487",
            "telephone_number": "248-651-9200",
            "fax_number": "248-650-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "PIERRE",
        "middle_name": "CHARBEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301096302",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301096302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.