Active NPI
Tamer Abdelhak, MD
- Neurology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301090561
- Practice address
- Trinity Health Iha Medical Group Neurology
5333 McAuley Drive
Ypsilanti, MI 48197-3412 - Phone
- (734) 712-1400
- Fax
- (734) 623-2857
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 4301090561 | MI | |
| Neurology Physician | 2084N0400X | 25MA10779900 | NJ | |
| Neurology Physician | 2084N0400X | 72703-20 | WI | |
| Neurology Physician | 2084N0400X | D64711 | MD | |
| Neurology Physician | 2084N0400X | 036136691 | IL | |
| Neurology Physician | 2084N0400X | 302109 | NY | |
| Vascular Neurology Physician | 2084V0102X | 036-136691 | IL | |
| Neurology Physician | 2084N0400X | 4301090561 | MI | Primary |
Addresses
Primary practice location
Trinity Health Iha Medical Group Neurology
5333 McAuley Drive
Ypsilanti, MI 48197-3412
Mailing address
24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (518) 262-5226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036136691 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY, WI, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070824000070 | MI | Practitioner - Neurology | 8022019504 | Reassigns benefits to 10 organizations |
| I20200108002317 | NY | Practitioner - Neurology | 8022019504 | Reassigns benefits to 2 organizations |
| I20200724000045 | WI | Practitioner - Neurology | 8022019504 | Reassigns benefits to 1 organization |
| I20220323000576 | NJ | Practitioner - Neurology | 8022019504 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MCHS Hospitals IncOsf Multi-Specialty GroupIha Health Services Corporation
Practice addresses (Care Compare)
Novi, MI 48374
Phone (800) 782-8581
24267 Weathervane CT
Tamer M Abdelhak MD
Novi, MI 48374-3079
Phone (309) 308-9692
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Neurology | Current | Accepting new patients |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Albany Medical College | Neurology | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Albany Medical College | Neurology | Current | Accepting new patients |
| Dickinson County Healthcare System | Neurology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Neurology | Current | Accepting new patients |
| Iha Health Services Corporation | Neurology | Current | Accepting new patients |
| Covenant Medical Center, Inc | Neurology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Metropolitan Hospital | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
2122 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5950
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
5333 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-5300
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
47 New Scotland Ave
#70
Albany, NY 12208
Phone (518) 262-5226
47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
Interoperability endpoints
- tabdelhak27340@sih.direct-ci.com
- tabdelhak2862720@direct.trinity-health.org
Organizations & group practices 26
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.
-
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- NPI 1891751186
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-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
NY
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
MI
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": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1326100660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DRIVE",
"address_2": "SUITE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "518-262-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRINITY HEALTH IHA MEDICAL GROUP NEUROLOGY",
"address_2": "5333 MCAULEY DRIVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481973412",
"telephone_number": "734-712-1400",
"fax_number": "734-623-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELHAK",
"first_name": "TAMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "MI",
"license": "4301090561",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA10779900",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "72703-20",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D64711",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036136691",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "302109",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036-136691",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301090561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036136691",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.