Active NPI
Abdala Sirajeldin, M.D.
- Ophthalmology Physician
- Rochester, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301505419
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
4499 Town Ctr Pkwy
Flint, MI 48532-3425
Phone (810) 733-7111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mei Operations, PLLC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Flint, MI
- NPI 1316008774
-
- Ambulatory Surgical Clinic/Center
- Flint, MI
- NPI 1598189342
-
- Ophthalmology Physician
- Jackson, MI
- NPI 1649275041
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.