Individual provider Active NPI

Joseph B Naoum, MD

  • Cardiovascular Disease Physician
  • Mount Clemens, MI
National Provider Identifier
1376540401
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301047164 Issued in MI
Practice address
133 S Main St
Mount Clemens, MI 48043-2308
Phone
(586) 468-1600
Fax
(586) 465-0329
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301047164 MI Primary

Addresses

Primary practice location

133 S Main St
Mount Clemens, MI 48043-2308

Mailing address

133 S Main St
Mount Clemens, MI 48043-2308
Phone (586) 468-1600

Other identifiers 1

IdentifierTypeStateIssuer
1578972MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnaoum58882@direct.hfhs.org

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
I20100707000275 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264421015 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Health System Cardiovascular Disease CurrentSince Jun 17, 2019 Accepting new patients
Henry Ford Health System CurrentSince Jun 17, 2019 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC CurrentSince Sep 30, 1996 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 17, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 17, 2019 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Henry Ford Physician Partners Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
Alliance Health Professionals, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Eds Associates Cardiovascular Disease Past Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

30795 23 Mile Rd
Ste 201
Chesterfield, MI 48047
Phone (586) 421-1600

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15500 19 Mile Rd
Ste 360
Clinton Twp, MI 48038
Phone (313) 286-8840

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

133 S Main St
Ste D
Mount Clemens, MI 48043
Phone (313) 465-1326

38600 Van Dyke Ave
Ste 255
Sterling Heights, MI 48312
Phone (586) 978-2222

Interoperability endpoints

  • Direct secure messaging: joseph.naoum.1@16555.direct.athenahealth.com
  • Direct secure messaging: jnaoum58882@direct.hfhs.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1376540401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S MAIN ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432308",
            "telephone_number": "586-468-1600",
            "fax_number": "586-465-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S MAIN ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432308",
            "telephone_number": "586-468-1600",
            "fax_number": "586-465-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAOUM",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301047164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578972",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnaoum58882@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "133 S Main St",
            "city": "Mount Clemens",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480432308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.