Baraa Alhallak Tonbr, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4351053631 Issued in MI

Practice address

11885 E 12 Mile Rd
Warren, MI 48093-3474

Phone

(586) 582-6630

NPI assigned

Jun 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1730923772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27321 DEQUINDRE RD APT 25",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713455",
            "telephone_number": "331-289-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-582-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHALLAK TONBR",
        "first_name": "BARAA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351053631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donsia Alexander
• Roger S Alexander, DC
• Evgeny Andrew Alexev, D.V.M.
• Brittany Alfred
• Mario G Algenio, CRNA
• Dumooa A Alhamadani I
• Mohamed Hekmat Alharami, MD
• Ali Endocrinology PC
• Ali Health Primary Care PLLC
• Ali Health Urgent Care PLLC

• Internal Medicine Physician in Warren, MI
• Providers in Warren, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.