Organization Active NPI

Emad Alatassi MD, P.C.

  • Pulmonary Disease Physician
  • Roseville, MI
National Provider Identifier
1447457734
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
EMAD ALATASSI MD, P.C.
Practice address
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone
(586) 778-3478
Fax
(586) 778-3496
NPI assigned
Jun 29, 2007
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Emad Alatassi, M.D.NPI 1528018256
Title
Owner
Phone
(586) 778-3478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MI
Pulmonary Disease Physician 207RP1001X MI Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MI

Addresses

Primary practice location

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805

Mailing address

43750 Garfield Rd
Suite 211
Clinton Township, MI 48038-1135
Phone (877) 996-9975

Other identifiers 7

IdentifierTypeStateIssuer
1174573816OtherMINPI FADI-JEAN SAAD, MD
1528018256OtherMINPI EMAD ALATASSI MD
FS087234OtherMILICENSE FADI-JEAN SAAD, M
0825742OtherMIBCBS PIN FADIJEAN SAAD MD
290H239650OtherMIBCBS PIN NUMBER
EA069292OtherMILICENSE EMAD ALATASSI MID
0826142OtherMIBCBS PIN EMAD ALATASSI MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000225 MI Part B Supplier - Clinic/Group Practice 6204860463 Receives reassigned benefits from 5 practitioners
Practice locations: Roseville, MI; St Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

25631 Little Mack Ave
Ste 203
Saint Clair Shores, MI 48081
Phone (586) 443-2360

25631 Little Mack Ave
Ste 203
Saint Clair Shores, MI 48081
Phone (888) 717-5337

29245 Ryan Rd
Warren, MI 48092
Phone (586) 576-0106

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1447457734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43750 GARFIELD RD",
            "address_2": "SUITE 211",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381135",
            "telephone_number": "877-996-9975",
            "fax_number": "586-228-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-778-3478",
            "fax_number": "586-778-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAD ALATASSI MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "ALATASSI",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-778-3478",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FADI-JEAN SAAD, MD",
            "identifier": "1174573816",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI EMAD ALATASSI MD",
            "identifier": "1528018256",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FADI-JEAN SAAD, M",
            "identifier": "FS087234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN FADIJEAN SAAD MD",
            "identifier": "0825742",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "290H239650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE EMAD ALATASSI MID",
            "identifier": "EA069292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN EMAD ALATASSI MD",
            "identifier": "0826142",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.