Individual provider Active NPI

Fadi Zouhair Jaafar, D.P.M.

  • Podiatrist
  • Alma, MI
National Provider Identifier
1679837504
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002453 Issued in MI
Practice address
1469 Mary CT
Alma, MI 48801-1053
Phone
(989) 463-2150
NPI assigned
Jun 26, 2012
Last updated
Jul 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002453 MI Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002453 MI

Addresses

Primary practice location

1469 Mary CT
Alma, MI 48801-1053

Mailing address

1469 Mary CT
Alma, MI 48801-1053
Phone (989) 463-2150

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119000110 MI Practitioner - Podiatry 7517267891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 E Warwick Dr
Suite C
Alma, MI 48801-1026
Phone (989) 279-0999

Merit-based Incentive Payment System (MIPS)

Final score
60.86 of 100Reported as group
Quality
78.24
Promoting interoperability
0
Improvement activities
40
Cost
74.63

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions1-10
Removal of nail tissue255
Removal or shaving of skin growth83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002453MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC Current Accepting new patients
Premier Podiatry PLLC Foot & Ankle Surgery CurrentSince Oct 24, 2016 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

8025 Allen Rd
Allen Park, MI 48101
Phone (313) 386-0080

245 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-0951

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1621 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 317-4153

1621 E Broomfield St
Ste B
Mt Pleasant, MI 48858
Phone (616) 754-9580

Interoperability endpoints

  • Direct secure messaging: fadi.jaafar@3980.securemail.prognocis.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1679837504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 MARY CT",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011053",
            "telephone_number": "989-463-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 MARY CT",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011053",
            "telephone_number": "989-463-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAAFAR",
        "first_name": "FADI",
        "middle_name": "ZOUHAIR",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002453",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.