NPIMap

Individual provider Active NPI

Jacob Hamad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Trenton, MI
National Provider Identifier
1528557014
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5951000953 Issued in MI
Practice address
5450 Fort St
Trenton, MI 48183-4601
Phone
(734) 671-3297
NPI assigned
May 9, 2018
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 5951000953 MI Primary

Addresses

Primary practice location

5450 Fort St
Trenton, MI 48183-4601

Mailing address

21501 Gregory St
Dearborn, MI 48124-3005
Phone (313) 909-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608001136 MI Practitioner - Podiatry 6901206283 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates Clinic PLLCGroup PAC ID 0749663797, 7 clinicians
Foot and Ankle Associates in Patient PLLCGroup PAC ID 2668855727, 7 clinicians
Foot and Ankle Associates NH Care PLLCGroup PAC ID 5496138943, 4 clinicians
Khalil and Usen DPM PCGroup PAC ID 8820009996, 4 clinicians
Foot and Ankle Associates Home Visits PLLCGroup PAC ID 6002290574, 2 clinicians

Practice addresses (Care Compare)

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

24566 Southfield Rd
Southfield, MI 48075-2711
Phone (248) 423-4220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue177
Removal of nail tissue658
Removal or shaving of skin growth529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951000953MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates NH Care PLLC Single Specialty CurrentSince Feb 6, 2023 Accepting new patients
Foot and Ankle Associates in Patient PLLC Single Specialty CurrentSince Feb 6, 2023 Accepting new patients
Foot and Ankle Associates Home Visits PLLC Single Specialty CurrentSince Feb 6, 2023 Accepting new patients
Khalil & Usen DPM, PC Single Specialty CurrentSince Feb 6, 2023 Accepting new patients
Foot and Ankle Associates Clinic PLLC Single Specialty CurrentSince Feb 6, 2023 Accepting new patients
Ribhi Hazin MD PC Single Specialty PastSince Aug 9, 2015 Accepting new patients

Locations

23077 Greenfield Rd
Ste 255
Southfield, MI 48075
Phone (248) 559-5200

24566 Southfield Rd
Southfield, MI 48075
Phone (248) 423-4220

1628 Ford Ave
Wyandotte, MI 48192
Phone (734) 284-1311

Interoperability endpoints

  • Direct secure messaging: jhamad@ffaas-mi.direct.office.nextgen.com
  • Direct secure messaging: jhamad740679@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1528557014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 GREGORY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243005",
            "telephone_number": "313-909-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601",
            "telephone_number": "734-671-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "JACOB",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.