Dominic Antonio Atiyeh, MD
Individual provider Active NPI Family Medicine Physician · Clawson, MI
NPI 1306368527 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1306368527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301113327 (MI)
- Practice address
- 909 W Maple Rd Ste 100
Clawson, MI 48017-1000 - Phone
- (248) 435-2028
- Fax
- (833) 479-2061
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 365 Health Care Group PLC
Practice addresses (Care Compare)
100 W Big Beaver Rd
Suite 200
Troy, MI 48084-5283
Phone (888) 402-0202
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 44 |
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 |
|---|---|---|---|---|
| I20200618000616 | MI | Practitioner - Family Practice | 5597012864 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 365 Health Care Group PLC | Family Medicine | Current |
Accepting new patients |
| Alexander Malayev MD PC | Family Medicine | Current |
Accepting new patients |
| Khalid Rao MD PC | Current |
Accepting new patients | |
| Inpatient Care Specialists PLLC | Current |
Accepting new patients | |
| Advocates in Home Health Care PC | Current |
Accepting new patients |
Locations
909 W Maple Rd
Ste 106
Clawson, MI 48017
Phone (248) 288-3280
909 W Maple Rd
Ste 116
Clawson, MI 48017
7542 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515
100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301113327 | MI | Yes |
Addresses
Primary practice location
909 W Maple Rd Ste 100
Clawson, MI 48017-1000
Mailing address
909 W Maple Rd Ste 100
Clawson, MI 48017-1000
Phone (248) 435-2028
Other providers in Clawson, MI
- Amerimed Home Medical Equipment Inc
- Lindsey Anquetil
- Apple Home Health Services LLC
- Hannah Marie Arnold
- Ferial Asmar
- Beronica Salah Bahoura
- Bodyworks Chiropratic PLLC
- Stephen Earl Boodin
- Zena Boutany
- Brian Vasicek DPT PLLC
All providers in Clawson, 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 Dec 15, 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.