Nadir Galal Abdelrahman, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

4301092875 Issued in MI

Practice address

4000 N Michigan Rd
Dimondale NCC
Dimondale, MI 48821-9744

Phone

(517) 646-6258

Fax

(206) 337-8601

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

No

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.

• Michigan State University

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1861443269

  Geriatric Medicine, MI

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Internal Medicine, MI

  Medicare reassignment NPD
• VLSR Madireddy MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Okemos, MI
  • NPI 1023267945

  Geriatric Medicine, MI

  Medicare reassignment NPD
• Michigan State University

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD
• Michigan State University

  • Pediatric Hematology & Oncology Physician
  • Lansing, MI
  • NPI 1205880333
  NPD
• Burcham Hills Retirement Center II

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1659344844
  NPD (past)
• Diamondale Nursing Care Center, LLC

  • Skilled Nursing Facility
  • Dimondale, MI
  • NPI 1073663498
  NPD (past)
• Holt Senior Care and Rehab Center, LLC

  • Skilled Nursing Facility
  • Holt, MI
  • NPI 1316190515
  NPD (past)

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.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2016.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1417119892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N MICHIGAN RD",
            "address_2": "DIMONDALE NCC",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488219744",
            "telephone_number": "517-646-6258",
            "fax_number": "206-337-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELRAHMAN",
        "first_name": "NADIR",
        "middle_name": "GALAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092875",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301092875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417119892",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Speech-Language Services
• Daniel Robert Bair, DDS
• Timothy M Bair, D.D.S.
• Kristy L Beck-Bair, D.D.S.
• Brian M Grisdela DDS PLLC

• All providers in Dimondale, MI
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.