Albaraa Belal Mustafa Abu Ata, M.B.B.S.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Royal Oak, MI
NPI 1659267441 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1659267441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 4351054814 (MI)
- Practice address
- Corewell Health William Beaumont University Hospital
3535 W 13 Mile Rd
Royal Oak, MI 48073 - Phone
- (248) 551-3000
- Fax
- (248) 551-2032
- NPI assigned
- Jun 17, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251209004141 | MI | Order and Referring Only - Pediatric Medicine |
8022502822 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351054814 | MI | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351054814 | MI | Yes |
Addresses
Primary practice location
Corewell Health William Beaumont University Hospital
3535 W 13 Mile Rd
Royal Oak, MI 48073
Mailing address
Corewell Health William Beaumont University Hospital
3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-3000
Other providers in Royal Oak, MI
- Steven Abell
- Renee Aboona
- Farah Aboufakhr
- Mohamad Talal Aboumourad
- Kamil Abraham
- Nashat Abu Saleh
- Mohammad Hamad Ahmad Abu Suailiek
- Jamal Abu-Khaled
- Kamil Abu-Shaban
- Hamzeh Khaleel Aburadahi
All providers in Royal Oak, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.