Tawfiq E Nakhleh, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5101009511 Issued in MI

Practice address

43171 Dalcoma Dr
Suite 3
Clinton TWP, MI 48038-6307

Phone

(586) 286-0639

Fax

(586) 286-0657

NPI assigned

May 3, 2006

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology, Pain Management

Education

Michigan State University College of Osteopathic Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ambulatory Anesthesia Associates PCGroup PAC ID 5092729020, 27 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: tawfiq.nakhleh@ccpmp-mi.direct.office.nextgen.com

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.

• Ambulatory Anesthesia Associates, PC

  • Anesthesiology Physician
  • Monroe, MI
  • NPI 1952350555
  Medicare reassignment Care Compare group NPD
• Comprehensive Chronic Pain Management PLC

  • Interventional Pain Medicine Physician
  • Clinton Township, MI
  • NPI 1366713786
  Medicare reassignment NPD Authorized official
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1316905847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24327 FORD RD",
            "address_2": "SUITE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129",
            "telephone_number": "586-286-0639",
            "fax_number": "586-286-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE 3",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-286-0639",
            "fax_number": "586-286-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKHLEH",
        "first_name": "TAWFIQ",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101009511",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101009511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E03586",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P00992689",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114075387",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Munsche, LLP
• Milca Mutangadura, RPH, PHARMD
• Amber Marie Myers, PMHNP-BC
• Nimisha Naik, M.D.
• Raed Najar
• Ramakrishna Nallapaneni, DDS
• Jessica Barbara Namou
• Nancy J Frantz DO PC
• Narayana Reddi Nandalur, MD
• Bridgette Anna Nanni, LLMSW

• Interventional Pain Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.

Verify at the official NPI Registry.