Mohammad Bitar, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

4301059950 Issued in MI

Practice address

47389 Van Dyke Avenue
Shelby Township, MI 48317-3363

Phone

(586) 739-8030

Fax

(586) 739-8333

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mohammad Bitar MD PC

  • Pediatric Adolescent Medicine Physician
  • Shelby TWP, MI
  • NPI 1730270661
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1487877973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47389 VAN DYKE AVENUE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173363",
            "telephone_number": "586-739-8030",
            "fax_number": "586-739-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47389 VAN DYKE AVENUE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173363",
            "telephone_number": "586-739-8030",
            "fax_number": "586-739-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITAR",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301059950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4160147",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billing Resolutions, Inc.
• Bio-Medical Applications of Michigan, Inc.
• Biotech Medical Systems, Inc.
• Rachel Birchmeier
• Maureen Dooley Bismack, LLP
• Linda A Blake, D.C.
• Raquel Frances Blattert
• Elizabeth Blondell
• Ann Marie Boeskool, PA-C
• Erin Boguslawski, DPT

• Pediatric Adolescent Medicine Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.