Individual provider Active NPI

Amer Jaafar El-Khatib, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
National Provider Identifier
1598009540
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002456 Issued in MI
Practice address
21230 Dequindre Rd
Warren, MI 48091-2279
Phone
(586) 427-1000
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002456 MI Primary

Addresses

Primary practice location

21230 Dequindre Rd
Warren, MI 48091-2279

Mailing address

21230 Dequindre Rd
Warren, MI 48091-2279
Phone (313) 443-7770

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027000594 MI Practitioner - Podiatry 6608185012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Bazzi PodiatryGroup PAC ID 3173848520, 9 clinicians

Practice addresses (Care Compare)

7633 E Jefferson Ave
Suite 250
Detroit, MI 48214-3731
Phone (313) 821-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions21
Removal of nail tissue401
Removal or shaving of skin growth99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bazzi Podiatry Foot & Ankle Surgery CurrentSince Dec 1, 2015 Accepting new patients
Physicians for Seniors PLLC Foot & Ankle Surgery CurrentSince Mar 2, 2026 Accepting new patients

Locations

26031 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 563-0660

17421 Greenfield Rd
Detroit, MI 48235
Phone (313) 273-7091

20526 Plymouth Rd
Ste A
Detroit, MI 48228
Phone (313) 273-3780

7633 E Jefferson Ave
Ste 2
Detroit, MI 48214
Phone (313) 821-3338

7633 E Jefferson Ave
Ste 250
Detroit, MI 48214
Phone (313) 581-2121

2007 E 14 Mile Rd
Sterling Heights, MI 48310
Phone (313) 740-1111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1598009540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912279",
            "telephone_number": "313-443-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912279",
            "telephone_number": "586-427-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KHATIB",
        "first_name": "AMER",
        "middle_name": "JAAFAR",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.