Individual provider Active NPI

Dalia Alhusein, DO

  • Family Medicine Physician
  • Bloomfield TWP, MI
National Provider Identifier
1558984468
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101027415 Issued in MI
Practice address
43097 Woodward Ave Ste #100
Bloomfield TWP, MI 48302
Phone
(248) 836-0040
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101027415 MI Primary

Addresses

Primary practice location

43097 Woodward Ave Ste #100
Bloomfield TWP, MI 48302

Mailing address

43097 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5042
Phone (248) 836-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906003884 MI Practitioner - Family Practice 7416378328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Ooma Primary LLCGroup PAC ID 7012316664, 45 clinicians

Practice addresses (Care Compare)

43097 Woodward Ave
204 Iha Bloomfield Primary Care
Bloomfield Township, MI 48302-5043
Phone (248) 836-0040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Ooma Primary LLC Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
Iha Ooma Primary LLC Family Medicine CurrentSince Sep 3, 2023 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

43097 Woodward Ave
Ste 204
Bloomfield Township, MI 48302
Phone (248) 334-3136

43097 Woodward Ave
Ste 100
Bloomfield Township, MI 48302
Phone (248) 334-0050

1375 S Lapeer Rd
Ste 210
Lake Orion, MI 48360
Phone (248) 693-5700

Interoperability endpoints

  • Direct secure messaging: dalhusein2897765@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1558984468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025042",
            "telephone_number": "248-836-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE #100",
            "city": "BLOOMFIELD TWP",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-836-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHUSEIN",
        "first_name": "DALIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield TWP, MI

Sources for this page

Verify at the official NPI Registry.