NPIMap

Individual provider Active NPI

Manhal Naoumi, M.D.

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1689643124
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MN079004 Issued in MI
Practice address
31500 Dequindre Rd
Warren, MI 48092-1057
Phone
(586) 939-9500
Fax
(586) 939-9501
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MN079004 MI Primary

Addresses

Primary practice location

31500 Dequindre Rd
Warren, MI 48092-1057

Mailing address

31500 Dequindre Rd
Warren, MI 48092-1057
Phone (586) 939-9500

Other identifiers 7

IdentifierTypeStateIssuer
150795OtherMIGREAT LAKES HEALTH PLAN
I31814OtherMIHAP
4735933MedicaidMI
141710OtherMICARE CHOICES
0808261442OtherMIBCBS
0808261442OtherMIBLUE CARE NETWORK
271421112OtherMITAX ID

Other names 1

  • Dr. Manhal Naoumi Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000532 MI Practitioner - Family PracticePractitioner - General Practice 6406892520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Family Care PCGroup PAC ID 8022321413, 3 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians
Manhal H Naoumi MD PCGroup PAC ID 7517094402, 2 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Ascension Macomb Oakland
Warren, MI 48093-3472
Phone (586) 573-5000

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7715

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

31500 Dequindre Rd
Warrem, MI 48092-1057

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MN079004MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhal H Naoumi MD PC Family Medicine CurrentSince Jan 15, 2010 Accepting new patients
Grace Family Care PC CurrentSince Jun 1, 2015 Accepting new patients
Sciometrix LLC CurrentSince Feb 1, 2025 Accepting new patients
Sciometrix Inc CurrentSince Feb 1, 2025 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
SJMH Medical Practice-SMHC Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Bassam Kinaya MD PC Past Accepting new patients
Mercy Internal Medicine PLLC PastSince Jan 15, 2010 Accepting new patients
University Family Physicians Family Medicine Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

34580 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 214-4357

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

31500 Dequindre Rd
Ste 100
Warren, MI 48092
Phone (586) 939-9500

31500 Dequindre Rd
Warren, MI 48092
Phone (586) 268-6942

31500 Dequindre Rd
#200
Warren, MI 48092
Phone (586) 939-9500

31500 Dequindre Rd
Ste 200
Warren, MI 48092
Phone (586) 939-9500

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 7

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1689643124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921057",
            "telephone_number": "586-939-9500",
            "fax_number": "586-939-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921057",
            "telephone_number": "586-939-9500",
            "fax_number": "586-939-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAOUMI",
        "first_name": "MANHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MN079004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "150795",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "I31814",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4735933",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "141710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0808261442",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0808261442",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "271421112",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANHAL",
            "last_name": "NAOUMI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.