Individual provider Active NPI

Hytham Hassan Mohamed Fadl, M.D.

  • Pediatrics Physician
  • Flint, MI
National Provider Identifier
1386664597
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301082160 Issued in MI
Practice address
1125 S Linden Rd Ste 500
Flint, MI 48532-4069
Phone
(810) 262-2150
Fax
(810) 732-3199
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301082160 MI Primary

Addresses

Primary practice location

1125 S Linden Rd Ste 500
Flint, MI 48532-4069

Mailing address

1125 S Linden Rd Ste 500
Flint, MI 48532-4069
Phone (810) 262-2150

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
I20070220000047 MI Practitioner - Pediatric Medicine 7012019276 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301082160MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Pediatrics CurrentSince Nov 16, 2015 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Nov 16, 2015 Accepting new patients
Bright Future Pediatrics P L L C Pediatrics Past Accepting new patients

Locations

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

300 E 1st St
Flint, MI 48502
Phone (810) 262-9773

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

1125 S Linden Rd
Ste 500
Flint, MI 48532
Phone (810) 230-2323

Interoperability endpoints

  • Direct secure messaging: hfadl1722@direct.hurleymc.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1386664597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S LINDEN RD STE 500",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324069",
            "telephone_number": "810-262-2150",
            "fax_number": "810-732-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S LINDEN RD STE 500",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324069",
            "telephone_number": "810-262-2150",
            "fax_number": "810-732-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADL",
        "first_name": "HYTHAM",
        "middle_name": "HASSAN MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301082160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.