Joseph A Attallah, MD
Individual provider Active NPI Hematology & Oncology Physician · Grosse Pointe Woods, MI
NPI 1700266129 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1700266129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 4301507140 (MI)
- Practice address
- 19229 Mack Ave Ste 34
Grosse Pointe Woods, MI 48236-2857 - Phone
- (313) 647-3245
- NPI assigned
- Jun 1, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Metrohealth System
Practice addresses (Care Compare)
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Hospital & facility affiliations
- Metrohealth System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180727001707 | VA | Practitioner - Hospitalist | 7719271311 | Reassigns benefits to 1 organization |
| I20241016004555 | OH | Practitioner - Hematology/Oncology | 7719271311 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301507140 | MI | MD | Hematology & Oncology Physician |
| 4351043675 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services, Inc. | Hospitalist | Current |
Accepting new patients |
| The Metrohealth System | Current |
Accepting new patients | |
| The Metrohealth System | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Current |
Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
10 Severance Cir
Cleveland Heights, OH 44118
Phone (216) 297-2600
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000
Interoperability endpoints
- jattallah278567@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4351043675 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 4301507140 | MI | Yes |
Addresses
Primary practice location
19229 Mack Ave Ste 34
Grosse Pointe Woods, MI 48236-2857
Mailing address
19229 Mack Ave Ste 34
Grosse Pointe Woods, MI 48236-2857
Phone (313) 647-3245
Other providers in Grosse Pointe Woods, MI
- Ascension Medical Group Michigan
- Ashish Patel MSD DDS PLLC
- Asm Haven
- Athletico LTD
- Andrew Atleski
- Aurora in Home Care LLC
- Sherine Wakim Awad
- Paul Babcock
- Tommi Badon-King
- Trinity Bailey
All providers in Grosse Pointe Woods, MI · Hematology & Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.