Individual provider Active NPI

Janan Hawil, MD

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1609082247
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301086433 Issued in MI
Practice address
35450 Dequindre Rd Ste 103
Sterling Heights, MI 48310-4810
Phone
(586) 795-2980
Fax
(586) 795-3419
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 4301086433 MI Primary

Addresses

Primary practice location

35450 Dequindre Rd Ste 103
Sterling Heights, MI 48310-4810

Mailing address

4962 Saddle Brook CT
Troy, MI 48085-5100
Phone (586) 219-9175

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
I20080715000886 MI Practitioner - Internal MedicinePractitioner - Family Practice 3476626011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35450 Dequindre Rd
Sterling Heights, MI 48310-4810
Phone (586) 795-2980

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Crest Medical PLC CurrentSince Jan 1, 2011 Accepting new patients
Janan Hawil, MD, PC Family Medicine CurrentSince Apr 21, 2024 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

43900 Garfield Rd
Ste 121
Clinton Twp, MI 48038
Phone (586) 228-3880

35450 Dequindre Rd
Ste 103
Sterling Hts, MI 48310
Phone (586) 274-2979

Interoperability endpoints

  • Direct secure messaging: jhawil1131693@direct.hfhs.org

Organizations & group practices 4

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 3

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1609082247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4962 SADDLE BROOK CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855100",
            "telephone_number": "586-219-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD STE 103",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "586-795-2980",
            "fax_number": "586-795-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWIL",
        "first_name": "JANAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.