Muhammad Haitham Al-Midani, MD FACP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA037021 Issued in MI

Practice address

4050 Walli Strasse Dr
Ste 1
Burton, MI 48509-1727

Phone

(810) 743-0680

Fax

(810) 743-0020

NPI assigned

Oct 27, 2006

Last updated

Nov 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. M Haitham Al-Midani Other name

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

Gastroenterology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Haitham Al-Midani MD PCGroup PAC ID 7012087315, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malmidani1159655@direct.hfhs.org

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.

• M Haitham Al-Midani MD PC

  • Gastroenterology Physician
  • Burton, MI
  • NPI 1568638047
  Medicare reassignment Care Compare group NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Corewell Health Lakeland Hospitals

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Medicare reassignment NPD
• Lakeland Medical Practices

  dba Corewell Health Medical Group South

  • Internal Medicine Physician
  • Saint Joseph, MI
  • NPI 1538397120
  Medicare reassignment NPD
• M. Haitham Al-Midani, MD PC

  • Gastroenterology Physician
  • Burton, MI
  • NPI 1184813941
  NPD Authorized official
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Corewell Health Lakeland Hospitals (MDPP)

  • Community Health Clinic/Center
  • Saint Joseph, MI
  • NPI 1184513731
  NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Spectrum Health Lakeland Anesthesia

  • Anesthesiology Physician
  • Saint Joseph, MI
  • NPI 1598305641
  NPD
• Lakeland Medical Practices

  dba Corewell Health Medical Group South

  • Internal Medicine Physician
  • Bridgman, MI
  • NPI 1568232247
  NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1366527160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 WALLI STRASSE DR",
            "address_2": "STE 1",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091727",
            "telephone_number": "810-743-0680",
            "fax_number": "810-743-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 WALLI STRASSE DR",
            "address_2": "STE 1",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091727",
            "telephone_number": "810-743-0680",
            "fax_number": "810-743-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-MIDANI",
        "first_name": "MUHAMMAD",
        "middle_name": "HAITHAM",
        "name_prefix": "Dr.",
        "credential": "MD FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "MA037021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02500611",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388637",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C2751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "02500661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "1100661",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "AL-MIDANI",
            "middle_name": "HAITHAM",
            "prefix": "DR.",
            "credential": "MD FACP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mufaddal Abdulali, MD
• Abdulkader Abdulrazzak, MD
• Jacob A Abu-Aita, DC
• Sanjay Agrawal, DDS
• Nilufa Akhter, M.D.
• Kayla Alaimo, MD
• Fatema Aldroubi
• Brandy Ann Alexander, LLMSW
• Premnath Alfred, M.D
• Eman Alkahali, PHARMD

• Gastroenterology Physician in Burton, MI
• Providers in Burton, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.