Individual provider Active NPI

Mu'Ath Nedal Abdeen, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Livonia, MI
National Provider Identifier
1487401824
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Trinity Health Academic Internal Medicine - Northwest L
37595 Seven Mile Rd., Suite 340
Livonia, MI 48152
Phone
(734) 793-2470
NPI assigned
May 3, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI Primary

Addresses

Primary practice location

Trinity Health Academic Internal Medicine - Northwest L
37595 Seven Mile Rd., Suite 340
Livonia, MI 48152

Mailing address

Trinity Health Livonia Hospital
36475 Five Mile Rd
Livonia, MI 48154
Phone (734) 655-2727

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003791 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4981145380

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mabdeen3381556@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1487401824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH LIVONIA HOSPITAL",
            "address_2": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-655-2727",
            "fax_number": "734-655-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH ACADEMIC INTERNAL MEDICINE - NORTHWEST L",
            "address_2": "37595 SEVEN MILE RD., SUITE 340",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-793-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEEN",
        "first_name": "MU'ATH",
        "middle_name": "NEDAL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.