Organization Active NPI

Asthma & Allergy Family Clinic PC

  • Allergy & Immunology Physician
  • Dearborn, MI
National Provider Identifier
1740381086
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ASTHMA & ALLERGY FAMILY CLINIC PC
Practice address
23601 Ford Rd
Dearborn, MI 48128-1227
Phone
(313) 724-1124
NPI assigned
Sep 26, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Itemad Badr, MDNPI 1659318657
Title
President
Phone
(313) 724-1124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

23601 Ford Rd
Dearborn, MI 48128-1227

Mailing address

23601 Ford Rd
Dearborn, MI 48128-1227
Phone (313) 724-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000427 MI Part B Supplier - Clinic/Group Practice 9638127301 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

23601 Ford Rd
Ste 1
Dearborn, MI 48128
Phone (313) 724-1124

950 W Avon Rd
Ste A2
Rochester Hills, MI 48307
Phone (248) 651-5353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1740381086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23601 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281227",
            "telephone_number": "313-724-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23601 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281227",
            "telephone_number": "313-724-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA & ALLERGY FAMILY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BADR",
        "authorized_official_first_name": "ITEMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-724-1124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.