Basil Azmi Abdulmuti Qandil, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301087756 Issued in MI

Practice address

9222 Joseph Campau St
Suite a
Hamtramck, MI 48212-4059

Phone

(313) 871-8900

Fax

(313) 871-8901

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• First Choice Medical Group PLLC

  • Primary Care Clinic/Center
  • Dearborn, MI
  • NPI 1750769394
  NPD (past)
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1720288749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "address_2": "SUITE A",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482124059",
            "telephone_number": "313-871-8900",
            "fax_number": "313-871-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "address_2": "SUITE A",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482124059",
            "telephone_number": "313-871-8900",
            "fax_number": "313-871-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QANDIL",
        "first_name": "BASIL",
        "middle_name": "AZMI ABDULMUTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301087756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00832043",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0809505962",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720288749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priority Medical Center PLLC
• Prohealth Clinic PLLC
• David Karl Puls, PT
• Ahsan Habib Qaiyum
• Qandil Family Medical & Urgent Care Center PLLC
• Lina Qasem, PHARMD
• Quadir Jaleel MD PC
• Quick Doc Urgent Care PLLC
• Rabeya Home Care LLC
• Faiza Binte Rahman

• Family Medicine Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.