Individual provider Active NPI

Dania Abushanab, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Dearborn, MI
National Provider Identifier
1376962514
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301500408 Issued in MI
Practice address
4700 Greenfield Rd
Dearborn, MI 48126-4124
Phone
(313) 600-4669
Fax
(855) 250-3025
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301500408 MI Primary

Addresses

Primary practice location

4700 Greenfield Rd
Dearborn, MI 48126-4124

Mailing address

3766 Brewster St
Dearborn, MI 48120-1016
Phone (313) 600-4669

Other practice location 1

9025 Pardee Rd
Taylor, MI 48180-2755
Phone (313) 600-4669

Other practice location 2

3766 Brewster St
Dearborn, MI 48120-1016
Phone (313) 600-4669

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
I20200323000993 MI Practitioner - Internal MedicinePractitioner - EndocrinologyPractitioner - Other (Physician) 9032547229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ali Achira MD PCGroup PAC ID 2668730003, 2 clinicians

Practice addresses (Care Compare)

4700 Greenfield Rd
Dearborn, MI 48126-4124
Phone (586) 438-3535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Achira MD PC Endocrinology, Diabetes & Metabolism CurrentSince Feb 5, 2020 Accepting new patients

Locations

4700 Greenfield Rd
Ste 2C
Dearborn, MI 48126
Phone (313) 600-4669

4700 Greenfield Rd
Dearborn, MI 48126
Phone (313) 624-9470

4201 Saint Antoine St
#2E
Detroit, MI 48201
Phone (313) 745-7888

9025 Pardee Rd
Taylor, MI 48180
Phone (313) 315-1422

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHEBD/Endpoint/FIHEBD

Organizations & group practices 1

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1376962514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3766 BREWSTER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201016",
            "telephone_number": "313-600-4669",
            "fax_number": "855-250-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-600-4669",
            "fax_number": "855-250-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9025 Pardee Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481802755",
            "country_code": "US",
            "telephone_number": "313-600-4669",
            "fax_number": "855-250-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3766 Brewster St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201016",
            "country_code": "US",
            "telephone_number": "313-600-4669",
            "fax_number": "855-250-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUSHANAB",
        "first_name": "DANIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301500408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.