Individual provider Active NPI

Ghaleb F Hatem, M.D.

  • Ophthalmology Physician
  • Dearborn Heights, MI
National Provider Identifier
1679525216
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301040489 Issued in MI
Practice address
4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936
Phone
(313) 295-2888
Fax
(313) 295-7923
NPI assigned
May 16, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301040489 MI Primary

Addresses

Primary practice location

4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936

Mailing address

4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936
Phone (313) 295-2888

Other identifiers 1

IdentifierTypeStateIssuer
1400778MedicaidMI

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
I20100820000111 MI Practitioner - Ophthalmology 3476687823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4655 S Telegraph Rd
Dearborn Heights, MI 48125-1936
Phone (313) 295-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301040489MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Ophthalmology PastSince Apr 1, 1994 Accepting new patients
Northwest Eye Foundation Ophthalmology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1679525216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 S TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251936",
            "telephone_number": "313-295-2888",
            "fax_number": "313-295-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 S TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251936",
            "telephone_number": "313-295-2888",
            "fax_number": "313-295-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATEM",
        "first_name": "GHALEB",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301040489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400778",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.