Active NPI
Waseem Alam, MD
- Internal Medicine Physician
- Bloomfield Hills, MI
National Provider Identifier
1477571818
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- WA072403
- Practice address
- 43344 Woodward Ave
Bloomfield Hills, MI 48302-5051 - Phone
- (248) 758-0730
- Fax
- (248) 758-2060
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | WA072403 | MI | Primary |
Addresses
Primary practice location
43344 Woodward Ave
Bloomfield Hills, MI 48302-5051
Mailing address
43344 Woodward Ave
Bloomfield Hills, MI 48302-5051
Phone (248) 758-0730
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1106340522 | Other | MI | BCN |
| 4431025 | Medicaid | MI | |
| 1106340522 | Other | BCS | |
| 1477571818 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WA072403 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Visiting Physicians PC | Internal Medicine | Past | Accepting new patients |
| Yatinder M Singhal MD PC | Past | Accepting new patients | |
| Fadi Salloum MD PC | Internal Medicine | Past | Accepting new patients |
| SJMH Medical Practice-SMHC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1063683324
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1053510446
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1346284684
-
- Clinical Social Worker
- Bloomfield Hills, MI
- NPI 1992879670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1477571818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43344 WOODWARD AVE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025051",
"telephone_number": "248-758-0730",
"fax_number": "248-758-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43344 WOODWARD AVE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025051",
"telephone_number": "248-758-0730",
"fax_number": "248-758-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAM",
"first_name": "WASEEM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "WA072403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "1106340522",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4431025",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCS",
"identifier": "1106340522",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477571818",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.