Abdullah Adnan, D.O
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Jackson, MI
NPI 1578855847 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1578855847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 5101021514 (MI)
- Practice address
- 1201 E Michigan Ave
Jackson, MI 49201-1852 - Phone
- (847) 962-1386
- Fax
- (517) 205-7525
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Practice addresses (Care Compare)
1201 E Michigan Ave
300 Henry Ford Allegiance Physical Med and Re
Jackson, MI 49201-1853
Phone (517) 205-1431
Hospital & facility affiliations
- Henry Ford Allegiance Health
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 |
|---|---|---|---|---|
| I20150605000989 | MI | Practitioner - Physical Medicine and Rehabilitation | 9537480272 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1100 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 782-5857
1201 E Michigan Ave
Ste 120
Jackson, MI 49201
Phone (517) 205-1000
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431
Interoperability endpoints
- aadnan455199@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PENDING | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 5101021514 | MI | Yes |
Addresses
Primary practice location
1201 E Michigan Ave
Jackson, MI 49201-1852
Mailing address
1201 E Michigan Ave
Jackson, MI 49201-1852
Phone (847) 962-1386
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aadnan455199@direct.hfhs.org | Health Information Exchange (HIE) |
Other providers in Jackson, MI
- Sara Adams
- Thomas Martin Adams
- James A. Adie
- Emily Lin Adkins
- Samara Cheyenne Adkins
- Krystie Lynn Adorjan
- Advanced Chiropractic Wellness Center PLLC
- Emmanuel Uchenna Agbo
- Shana A Ageloff-Kupetz
- Andrea Melissa Aguilar Corrales
All providers in Jackson, MI · Physical Medicine & Rehabilitation 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 22, 2020. 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.