Bassel Altantawi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301074111 Issued in MI

Practice address

610 Pheasant Woods Dr
Canton, MI 48188-3165

Phone

(248) 635-7574

Fax

(734) 844-3950

NPI assigned

Jun 12, 2006

Last updated

Jun 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bassel Altantawi MD PC

  • Internal Medicine Physician
  • Allen Park, MI
  • NPI 1417036054
  NPD (past) Authorized official
• Canton Urgent Care PC

  • Internal Medicine Physician
  • Canton, MI
  • NPI 1992830863
  NPD (past) Authorized official
• Canton Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Canton, MI
  • NPI 1649712480
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1497797526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PHEASANT WOODS DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883165",
            "telephone_number": "248-635-7574",
            "fax_number": "734-844-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PHEASANT WOODS DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883165",
            "telephone_number": "248-635-7574",
            "fax_number": "734-844-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTANTAWI",
        "first_name": "BASSEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Mohammad Alrfifeh, PHARMD
• Karam Alrousan
• Ali Alsaden
• Razan Alshuwayhat
• Wafa Altamam
• Kelly Alter
• Summer Alwakya, PHARMD
• Daniel Chinthaka Amarasinghe, MD
• Hira Amarasinghe, M.D.
• American Home Care Physicians PLLS

• Internal Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.

Verify at the official NPI Registry.