NPIMap

Individual provider Active NPI

Alan Tahsin Ghassan, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1760450811
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081430 Issued in MI
Practice address
24333 Orchard Lake Rd
Suite C
Farmington Hills, MI 48336-1976
Phone
(248) 476-0660
Fax
(248) 476-1780
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081430 MI Primary

Addresses

Primary practice location

24333 Orchard Lake Rd
Suite C
Farmington Hills, MI 48336-1976

Mailing address

24333 Orchard Lake Rd
Suite C
Farmington Hills, MI 48336-1976
Phone (248) 476-0660

Other identifiers 4

IdentifierTypeStateIssuer
0F33502OtherMIBCBSM
4876520MedicaidMI
5194640MedicaidMI
0636052OtherMIBC/BS

Other names 1

  • Alan Tahsin Ghassan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000376 MI Practitioner - Internal Medicine 8921002486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

24333 Orchard Lake Rd
Farmington Hills, MI 48336-1976
Phone (248) 476-0660

26850 Providence Pkwy
Suite 520
Novi, MI 48374-1267
Phone (248) 465-3790

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Alan T Ghassan MD PC Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Henry Ford Semi Medical Group Internal Medicine Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

18161 W 12 Mile Rd
Ste 2
Lathrup Village, MI 48076
Phone (248) 552-1200

26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: aghassan1129919@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1760450811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24333 ORCHARD LAKE RD",
            "address_2": "SUITE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361976",
            "telephone_number": "248-476-0660",
            "fax_number": "248-477-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24333 ORCHARD LAKE RD",
            "address_2": "SUITE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361976",
            "telephone_number": "248-476-0660",
            "fax_number": "248-476-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASSAN",
        "first_name": "ALAN",
        "middle_name": "TAHSIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F33502",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4876520",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5194640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0636052",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "GHASSAN",
            "middle_name": "TAHSIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.