Active NPI
Ghaleb F Hatem, MD, PC
- Ophthalmology Physician
- Dearborn Heights, MI
National Provider Identifier
1528244647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301040489
- Legal business name
- GHALEB F HATEM, MD, PC
- Practice address
- 4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936 - Phone
- (313) 295-2888
- Fax
- (313) 295-7923
- NPI assigned
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ghaleb F Hatem, M.D.
- Title
- Owner
- Phone
- (313) 295-2888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301040489 | MI | Primary |
Addresses
Primary practice location
4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936
Mailing address
4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936
Phone (313) 295-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1400778 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4655 S Telegraph Rd
Dearborn Hts, MI 48125
Phone (313) 295-2888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Dearborn Heights, MI
- NPI 1679525216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1528244647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 S TELEGRAPH RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481251936",
"telephone_number": "313-295-2888",
"fax_number": "313-295-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 S TELEGRAPH RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481251936",
"telephone_number": "313-295-2888",
"fax_number": "313-295-7923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHALEB F HATEM, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "HATEM",
"authorized_official_first_name": "GHALEB",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-295-2888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301040489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1400778",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.