Moneer Abdo, M.D.
Individual provider Active NPI Emergency Medicine Physician · Ann Arbor, MI
NPI 1508204587 · NPPES record last updated May 26, 2017
Key facts
- NPI
- 1508204587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301103332 (MI)
- Practice address
- 1500 E. Medical Center Drive
B1-380 TC
Ann Arbor, MI 48109-5305 - Phone
- (734) 763-7919
- Fax
- (734) 763-9298
- NPI assigned
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Center Emergency Services
Practice addresses (Care Compare)
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000
Hospital & facility affiliations
- Harper University Hospital
- Detroit Receiving Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160721001797 | MI | Practitioner - Emergency Medicine | 0143520700 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301103332 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Emergency Services | Current |
Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301103332 | MI | Yes |
Addresses
Primary practice location
1500 E. Medical Center Drive
B1-380 TC
Ann Arbor, MI 48109-5305
Mailing address
1500 E. Medical Center Drive
B1-380 TC
Ann Arbor, MI 48109-5305
Phone (734) 763-7919
Other providers in Ann Arbor, MI
- Abrahime Abdallah
- Ahmed Abdel-Latif
- Sarah Elizabeth Abdella
- Samia Jamal Abdelnabi
- Maysaa Abdelrahman
- Samir I Abdo
- Fouad Adam Abdole
- Lana Abdole
- Emily Ann Abdoler
- Mohammed Abdrabboh
All providers in Ann Arbor, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.