Individual provider Active NPI

Abdelmajid Jondy, M.D.

  • Specialist
  • Flint, MI
National Provider Identifier
1386755080
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301034344 Issued in MI
Practice address
4800 S Saginaw St Ste 1625
Flint, MI 48507-2677
Phone
(810) 720-0368
Fax
(810) 720-0371
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301034344 MI Primary

Addresses

Primary practice location

4800 S Saginaw St Ste 1625
Flint, MI 48507-2677

Mailing address

4800 S Saginaw St Ste 1625
Flint, MI 48507-2677
Phone (810) 720-0368

Other practice location 1

1020 Charter Dr
Suite A
Flint, MI 48532-3584
Phone (810) 720-0368

Other identifiers 1

IdentifierTypeStateIssuer
3207605MedicaidMI

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
I20070316000424 MI Practitioner - General SurgeryPractitioner - Orthopedic Surgery 3779686571 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Aug 24, 2009 Accepting new patients
Hurley Medical Center Current Accepting new patients
Jawad a Shah, MD PC Specialist CurrentSince Jul 1, 2019 Accepting new patients
Hurley Medical Center CurrentSince Aug 24, 2009 Accepting new patients
Jawad a Shah MD PC CurrentSince Jul 1, 2019 Accepting new patients
Hurley Medical Center Past Accepting new patients
Flint Surgical Specialists, P.C. Specialist Past Accepting new patients

Locations

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1625
Flint, MI 48507
Phone (810) 275-9366

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

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

Organizations & group practices 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1386755080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1625",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1625",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Charter Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323584",
            "country_code": "US",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONDY",
        "first_name": "ABDELMAJID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301034344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207605",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.