NPIMap

Individual provider Active NPI

Chaker H Diab, DO

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1477522381
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CD012050 Issued in MI
Practice address
29703 Hoover Rd
Ste a
Warren, MI 48093-8901
Phone
(586) 558-4081
Fax
(586) 558-4099
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CD012050 MI Primary

Addresses

Primary practice location

29703 Hoover Rd
Ste a
Warren, MI 48093-8901

Mailing address

29703 Hoover Rd
Ste a
Warren, MI 48093-8901
Phone (586) 558-4081

Other identifiers 6

IdentifierTypeStateIssuer
0E01338OtherMIBCBSM
4434081 11MedicaidMI
5435623OtherMIAETNA
1211664OtherMIFIRST HEALTH
320018015OtherMICARE CHOICES
G75492OtherMIHEALTH ALLIANCE PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203001262 MI Practitioner - Internal Medicine 1052508975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

29703 Hoover Rd
Warren, MI 48093-8901
Phone (586) 558-4081

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CD012050MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Physician Partners CurrentSince Jun 1, 2024 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Alliance Health Professionals, PLLC Internal Medicine Current Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Internal Medicine Current Accepting new patients
Diab & Kinner Internal Medicine, P.C. Internal Medicine CurrentSince Oct 14, 2002 Accepting new patients
Henry Ford Physician Partners Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Detroit Osteopathic Hospital Corporation Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

29703 Hoover Rd
Warren, MI 48093
Phone (586) 573-9090

29703 Hoover Rd
Ste A
Warren, MI 48093
Phone (586) 558-4081

30050 Hoover Rd
Ste E
Warren, MI 48093
Phone (586) 558-4081

Interoperability endpoints

  • Direct secure messaging: cdiab57494@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1477522381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29703 HOOVER RD",
            "address_2": "STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938901",
            "telephone_number": "586-558-4081",
            "fax_number": "586-558-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29703 HOOVER RD",
            "address_2": "STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938901",
            "telephone_number": "586-558-4081",
            "fax_number": "586-558-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAB",
        "first_name": "CHAKER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CD012050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E01338",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434081 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5435623",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1211664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "320018015",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "G75492",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.