Individual provider Active NPI

Ayoub Innabi, M.D.

  • Pulmonary Disease Physician
  • Auburn Hills, MI
National Provider Identifier
1346636735
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301507586 Issued in MI
Practice address
3100 Cross Creek Pkwy Ste 210B
Auburn Hills, MI 48326-2776
Phone
(248) 335-1110
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301507586 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy Ste 210B
Auburn Hills, MI 48326-2776

Mailing address

4301 W. Markham Street
University of Arkansas for Medical Sciences
Little Rock, AR 72205

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
I20220728000779 MI Practitioner - Pulmonary Disease 1153637541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospitalists, PLLCGroup PAC ID 8921338237, 27 clinicians
Oakland Lung and Sleep Specialists PLLCGroup PAC ID 1557753969, 3 clinicians
SJMH Medical Practice-SMHCGroup PAC ID 8628965175, 27 clinicians

Practice addresses (Care Compare)

10 W Square Lake Rd
Suite 103
Bloomfield Hills, MI 48302-0466
Phone 24828340001

3100 Cross Creek Pkwy
Suite 130B
Auburn Hills, MI 48326-2774

3100 Cross Creek Pkwy
Suite 130B
Auburn Hills, MI 48326-2775
Phone (248) 335-1110

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-6101

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score
76.43 of 100Reported as group
Quality
84.93
Improvement activities
0
Cost
73.5

Merit-based Incentive Payment System (MIPS)

Final score
89.55 of 100Reported as group
Quality
76.29
Improvement activities
40
Cost
82.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SJMH Medical Practice-SMHC CurrentSince Oct 15, 2022 Accepting new patients
Oakland Lung & Sleep Specialists PLLC Pulmonary Disease CurrentSince Aug 1, 2022 Accepting new patients
Mercy Hospitalists, PLLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 130B
Auburn Hills, MI 48326

3100 Cross Creek Pkwy
Ste 210B
Auburn Hills, MI 48326
Phone (248) 335-1110

3100 Cross Creek Pkwy
Ste 210
Auburn Hills, MI 48326
Phone (248) 335-1110

10 W Square Lake Rd
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 283-4000

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECFICD/Endpoint/ECFICD
  • Direct secure messaging: ainnabi1989613@direct.trinity-health.org

Organizations & group practices 4

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.

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1346636735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W. MARKHAM STREET",
            "address_2": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 210B",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-335-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNABI",
        "first_name": "AYOUB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301507586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.