Organization Active NPI

Hatahet Center PLLC

  • Internal Medicine Physician
  • Waterford, MI
National Provider Identifier
1629762497
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HATAHET CENTER PLLC
Practice address
3901 Highland Rd
Ste a
Waterford, MI 48328-2162
Phone
(248) 681-2226
Fax
(248) 681-6494
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Mohamad Ammar Hatahet, MDNPI 1952364242
Title
Owner
Phone
(248) 681-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3901 Highland Rd
Ste a
Waterford, MI 48328-2162

Mailing address

3901 Highland Rd Ste a
Waterford, MI 48328-2162
Phone (248) 681-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230627001662 MI Part B Supplier - Clinic/Group Practice 5193183986 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomfield Hills, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1629762497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HIGHLAND RD STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282162",
            "telephone_number": "248-681-2226",
            "fax_number": "248-681-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HIGHLAND RD",
            "address_2": "STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282162",
            "telephone_number": "248-681-2226",
            "fax_number": "248-681-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATAHET CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "HATAHET",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "AMMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-681-2226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.