Individual provider Active NPI

Hesham Hanfy Abdelkader, BACHELOR DEGREE

  • Physical Therapist
  • Davison, MI
National Provider Identifier
1740494657
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006715 Issued in MI
Practice address
1248 N Irish Rd
Davison, MI 48423-2213
Phone
(810) 503-0986
Fax
(810) 503-0990
NPI assigned
May 9, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501006715 MI Primary

Addresses

Primary practice location

1248 N Irish Rd
Davison, MI 48423-2213

Mailing address

1248 N Irish Rd
Davison, MI 48423-2213
Phone (810) 503-0986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000175 MI Practitioner - Physical Therapist in Private Practice 0941396402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Jun 1, 2024 Accepting new patients
Jawad a Shah, MD PC CurrentSince Jun 1, 2024 Accepting new patients
Hesham Abdelkader Physical Therapist PastSince May 15, 2007 Accepting new patients

Locations

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1740494657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 N IRISH RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232213",
            "telephone_number": "810-503-0986",
            "fax_number": "810-503-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 N IRISH RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232213",
            "telephone_number": "810-503-0986",
            "fax_number": "810-503-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELKADER",
        "first_name": "HESHAM",
        "middle_name": "HANFY",
        "credential": "BACHELOR DEGREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.