Individual provider Active NPI

Josephine Adib Iskander, MD

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1366629156
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301085250 Issued in MI
Practice address
43200 Dequindre Rd
Ste 104
Sterling Heights, MI 48314-1707
Phone
(586) 799-4350
Fax
(586) 799-4279
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301085250 MI Primary
Hospitalist Physician 208M00000X 5101085250 MI

Addresses

Primary practice location

43200 Dequindre Rd
Ste 104
Sterling Heights, MI 48314-1707

Mailing address

43200 Dequindre Rd
Ste 104
Sterling Heights, MI 48314-1707
Phone (586) 799-4350

Other names 1

  • Josephine Iskander Former name

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
I20081211000052 MI Practitioner - Internal Medicine 4385712785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43200 Dequindre Rd
Suite 104
Sterling Heights, MI 48314-1707
Phone (586) 799-4350

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 828-5100

Hospital & facility affiliations

  • Sphinx Home Health Care Home health agency, Sterling Heights, MI, CCN 239017
  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101085250MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine Iskander, MD PLLC CurrentSince Dec 28, 2009 Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients
McLaren Flint Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

43200 Dequindre Rd
#S104
Sterling Heights, MI 48314

43200 Dequindre Rd
Ste 104
Sterling Hts, MI 48314
Phone (586) 799-4350

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 5

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1366629156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDER",
        "first_name": "JOSEPHINE",
        "middle_name": "ADIB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085250",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "5101085250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "ISKANDER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.