Individual provider Active NPI

Erfan Adel Obeid, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1639149735
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
EO033088 Issued in MI
Practice address
15841 W Warren Ave
Detroit, MI 48228-3737
Phone
(313) 584-0018
Fax
(313) 584-0158
NPI assigned
Jan 23, 2006
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X EO033088 MI Primary

Addresses

Primary practice location

15841 W Warren Ave
Detroit, MI 48228-3737

Mailing address

15841 W Warren Ave
Detroit, MI 48228-3737
Phone (313) 584-0018

Other identifiers 1

IdentifierTypeStateIssuer
2717829MedicaidMI

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
I20060424000277 MI Practitioner - Internal MedicinePractitioner - General PracticePractitioner - General Surgery 8921063124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warrenfield Medical Center, P.C.Group PAC ID 9133184336, 5 clinicians

Practice addresses (Care Compare)

14716 W Warren Ave
Dearborn, MI 48126-1347
Phone (313) 584-0018

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EO033088MIMDSurgery Physician

Organizations & group practices 1

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.

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1639149735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15841 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283737",
            "telephone_number": "313-584-0018",
            "fax_number": "313-584-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15841 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283737",
            "telephone_number": "313-584-0018",
            "fax_number": "313-584-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEID",
        "first_name": "ERFAN",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "EO033088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717829",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.