NPIMap

Individual provider Active NPI

Badawi Abdellatif, MD

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1376740548
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071311 Issued in MI
Practice address
500 Kirts Blvd Ste 200
Troy, MI 48084
Phone
(248) 824-6060
Fax
(248) 686-0772
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301071311 MI Primary

Addresses

Primary practice location

500 Kirts Blvd Ste 200
Troy, MI 48084

Mailing address

500 Kirts Blvd Ste 200
Troy, MI 48084-4140
Phone (248) 824-6060

Other practice location 1

3496 E Lake Lansing Rd
Suite 100
East Lansing, MI 48823
Phone (517) 333-0968 ext. 235

Other practice location 2

3496 E Lake Lansing Rd
Suite 100
East Lansing, MI 48823-2288
Phone (517) 333-0968 ext. 235

Other practice location 3

3496 E Lake Lansing Rd
Suite 100
East Lansing, MI 48823
Phone (517) 333-0968 ext. 235

Other practice location 4

3496 E Lake Lansing Rd
Suite 100
East Lansing, MI 48823
Phone (517) 333-0968 ext. 235

Other practice location 5

3496 E Lake Lansing Rd
Suite 100
East Lansing, MI 48823
Phone (517) 333-0968 ext. 235

Other identifiers 1

IdentifierTypeStateIssuer
A134081468871OtherMIDRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018001918 MI Practitioner - Internal Medicine 3173899150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Troy, MI 48084
Phone (248) 824-6060

4444 W Bristol Rd
Suite 330
Flint, MI 48507-3159
Phone (810) 230-9500

Hospital & facility affiliations

  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Optimal Care Home Health Home health agency, Bingham Farms, MI, CCN 237504
  • Alpine Care Home Health Home health agency, Troy, MI, CCN 237510
  • Tone Home Health Services Home health agency, Farmington Hills, MI, CCN 237634
  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Crossbridge Hospice Hospice, Troy, MI, CCN 231611
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Iah of Michigan, PLLC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Vpa PC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Vpa PC Current Accepting new patients

Locations

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: badawi.abdellatif.1@32913.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 11

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1376740548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844140",
            "telephone_number": "248-824-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-824-6060",
            "fax_number": "248-686-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3496 E Lake Lansing Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-333-0968 x235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3496 E Lake Lansing Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488232288",
            "country_code": "US",
            "telephone_number": "517-333-0968 x235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3496 E Lake Lansing Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-333-0968 x235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3496 E Lake Lansing Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-333-0968 x235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3496 E Lake Lansing Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-333-0968 x235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELLATIF",
        "first_name": "BADAWI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "A134081468871",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.