Individual provider Active NPI

Abdala Sirajeldin, M.D.

  • Ophthalmology Physician
  • Rochester, MI
National Provider Identifier
1649634262
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301505419 Issued in MI
Practice address
1101 W University Dr
2South
Rochester, MI 48307-1863
Phone
(248) 601-4900
NPI assigned
Apr 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301505419 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1101 W University Dr
2South
Rochester, MI 48307-1863

Mailing address

1101 W University Dr
Rochester Hills, MI 48307-1863

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
I20220119001557 MI Practitioner - Ophthalmology 0749672079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Davis School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mei Operations, PLLCGroup PAC ID 2860436318, 17 clinicians

Practice addresses (Care Compare)

4499 Town Ctr Pkwy
Flint, MI 48532-3425
Phone (810) 733-7111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery232

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mei Operations, PLLC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Mei Surgery Center LLC Past Accepting new patients
Mid Michigan Eye Care Center, PC Ophthalmology Past Accepting new patients

Locations

16255 Silver Pkwy
Fenton, MI 48430
Phone (810) 629-7900

4499 Town Center Pkwy
Flint, MI 48532
Phone (810) 733-7111

4495 Town Center Pkwy
Flint, MI 48532
Phone (810) 244-3937

8275 Holly Rd
Ste 3
Grand Blanc, MI 48439
Phone (810) 694-8400

1240 S Lapeer Rd
Ste 100A
Lake Orion, MI 48360
Phone (248) 236-9379

1005 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 664-5458

432 W University Dr
Rochester, MI 48307
Phone (248) 651-6122

Interoperability endpoints

  • Direct secure messaging: asirajeldin332610@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1649634262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "address_2": "2SOUTH",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-601-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAJELDIN",
        "first_name": "ABDALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301505419",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.