Individual provider Active NPI

Maha Alhusseini, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Dearborn, MI
National Provider Identifier
1326333493
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301098604 Issued in MI
Practice address
5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-2619
Phone
(313) 914-5591
Fax
(313) 914-5580
NPI assigned
Jun 16, 2011
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301098604 MI Primary

Addresses

Primary practice location

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-2619

Mailing address

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-2619
Phone (313) 914-5591

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
I20160606001163 MI Practitioner - Endocrinology 0244531952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5728 Schaefer Rd
Suite 103
Dearborn, MI 48126-2287
Phone (313) 581-8080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098604MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maha Alhusseini MD PC Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2023 Accepting new patients
Prime Care Medical Clinic PLLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

5728 Schaefer Rd
Ste 103
Dearborn, MI 48126
Phone (313) 581-8080

23801 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 221-9110

23801 W Warren St
Dearborn Hts, MI 48127
Phone (313) 908-5856

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAIAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGGCDD/Endpoint/BGGCDD
  • Direct secure messaging: maha.alhusseini.1@16555.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1326333493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR",
            "address_2": "STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-914-5591",
            "fax_number": "313-914-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR",
            "address_2": "STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-914-5591",
            "fax_number": "313-914-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHUSSEINI",
        "first_name": "MAHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301098604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.