Organization Active NPI

Robert Hasbany MD PLLC

  • Family Medicine Physician
  • Madison Heights, MI
National Provider Identifier
1669778759
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RH064166 Issued in MI
Legal business name
ROBERT HASBANY MD PLLC
Practice address
28200 John R Rd
Madison Heights, MI 48071-2814
Phone
(248) 547-1400
Fax
(248) 548-7208
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Cynthia Hasbany
Title
Buisness Manager
Phone
(248) 547-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X RH064166 MI Primary

Addresses

Primary practice location

28200 John R Rd
Madison Heights, MI 48071-2814

Mailing address

28200 John R Rd
Madison Heights, MI 48071-2814
Phone (248) 547-1400

Other identifiers 1

IdentifierTypeStateIssuer
1669778759MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110223001216 MI Part B Supplier - Clinic/Group Practice 1759562747 Receives reassigned benefits from 1 practitioner
Practice locations: Madison Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1669778759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28200 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712814",
            "telephone_number": "248-547-1400",
            "fax_number": "248-548-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28200 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712814",
            "telephone_number": "248-547-1400",
            "fax_number": "248-548-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HASBANY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "HASBANY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BUISNESS MANAGER",
        "authorized_official_telephone_number": "248-547-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RH064166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669778759",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.