NPIMap

Individual provider Active NPI

Haseeb A Khawaja, MD

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1679580104
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301078391 Issued in MI
Practice address
1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone
(586) 840-1333
Fax
(586) 840-1377
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301078391 MI Primary

Addresses

Primary practice location

1921 E 8 Mile Rd
Warren, MI 48091-2402

Mailing address

1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 840-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130916000755 MI Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 6103882642 Reassigns benefits to 5 organizations
I20241101001345 AR Practitioner - Internal Medicine 6103882642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient SolutionsGroup PAC ID 5597195206, 31 clinicians

Practice addresses (Care Compare)

5 Medical Park Dr
Suite 304
Benton, AR 72015-3745
Phone (501) 408-2429

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.23 of 100Reported as apm
Quality
76.64
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Medical Clinic CurrentSince Apr 1, 2020 Accepting new patients
Portage Physician Practices Inc Internal Medicine CurrentSince Aug 30, 2024 Accepting new patients
Inpatient Solutions Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Metro Hospitalist Group PLLC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Portage Physician Practices Inc CurrentSince Aug 30, 2024 Accepting new patients
Theoria Medical Internal Medicine CurrentSince May 10, 2024 Accepting new patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients
Portage Hospital LLC Past Accepting new patients
Sanford Health Network Past Accepting new patients
Trilogy Healthcare of Oakland, LLC Past Accepting new patients

Locations

5 Medical Park Dr
Benton, AR 72015
Phone (501) 246-3423

5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

37662 Ford Rd
Westland, MI 48185
Phone (734) 238-3800

Interoperability endpoints

  • Direct secure messaging: hkhawaja830808@direct.hfhs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1679580104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333",
            "fax_number": "586-840-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333",
            "fax_number": "586-840-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "HASEEB",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.