Adib Omar Abdolkarim, MD
Individual provider Active NPI Family Medicine Physician · Westland, MI
NPI 1578699807 · NPPES record last updated Dec 27, 2013
Key facts
- NPI
- 1578699807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301059759 (MI)
- Practice address
- 33000 Palmer Rd
Westland, MI 48186 - Phone
- (734) 729-1800
- Fax
- (734) 729-8030
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
33000 Palmer Rd
Westland, MI 48186-5517
Phone (734) 729-1800
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Corewell Health Wayne 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 |
|---|---|---|---|---|
| I20060428000030 | MI | Practitioner - Family Practice | 7416967963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059759 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Medical Center P C | Family Medicine | Current |
Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| First Choice Medical Center | Past | Accepting new patients | |
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Optalis Dearborn Heights Opco LLC | Past | Accepting new patients |
Locations
33000 Palmer Rd
Ste D
Westland, MI 48186
33000 Palmer Rd
Westland, MI 48186
Phone (734) 467-8565
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAAICD
- https://fhir4.healow.com/fhir/r4/JCFACA/Endpoint/JCFACA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301059759 | MI | Yes |
Addresses
Primary practice location
33000 Palmer Rd
Westland, MI 48186
Mailing address
33000 Palmer Rd
Westland, MI 48186
Phone (734) 729-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417413310 | Medicaid | MI |
Other providers in Westland, MI
- A Bala Setty MD PC
- A Miracle LLC
- A Spark of Hope Home Care L.L.C.
- Aahs LLC
- Ehab A Abdalla
- Nisreen Abdolkarim
- Jihaad Abdul-Majid
- Fathi Abdullah
- Fatma A Aboubakr
- Absolute Care Management LLC
All providers in Westland, MI · Family 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 Dec 27, 2013. 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.