Hadi Abou-Rass
Individual provider Active NPI Internal Medicine Physician · Commerce Township, MI
NPI 1407396252 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1407396252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5101025807 (MI)
- Practice address
- 1 William Carls Dr
Commerce Township, MI 48382-2201 - Phone
- (248) 937-3300
- NPI assigned
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson University Physicians
Practice addresses (Care Compare)
1101 Market St
FL 19
Philadelphia, PA 19107-2926
111 S 11TH St
Philadelphia, PA 19107-4824
834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779
925 Chestnut St
Philadelphia, PA 19107-4204
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Health- Northeast
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210304000564 | MI | Practitioner - Internal Medicine | 5092083691 | Reassigns benefits to 2 organizations |
| I20210812002117 | PA | Practitioner - Internal Medicine | 5092083691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025807 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Internal Medicine | Current |
Accepting new patients |
Locations
909 Walnut St
Fl 3
Philadelphia, PA 19107
Phone (215) 503-7008
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101025807 | MI | Yes |
Addresses
Primary practice location
1 William Carls Dr
Commerce Township, MI 48382-2201
Mailing address
PO Box 27561
Belfast, ME 04915-2027
Other practice location 1
2330 S Milford Rd Ste 120
Highland, MI 48357-4982
Phone (248) 676-9060
Other practice location 2
39475 Lewis Dr Ste 200
Novi, MI 48377-2980
Phone (248) 471-0675
Other providers in Commerce Township, MI
- A2 Integrative Wellness, LLC
- Aaron B Rives, DPM PC
- Ban Abbo
- Alexis Abernethy
- Waqas Abid
- Stephanie Lee Adams
- Adil Arabbo MD Consulting Service PLLC
- Adult Primary Care Associates, Inc.
- Affinity Home Care Agency Inc
- Affinity Private Care Dba Affinity Senior Care
All providers in Commerce Township, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.