Taleb Radwan Hage, D.O.
Individual provider Active NPI Family Medicine Physician · Walled Lake, MI
NPI 1760615272 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1760615272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L1593676 (MI)
- Practice address
- 1340 S Commerce Rd
Walled Lake, MI 48390-3010 - Phone
- (248) 438-6600
- Fax
- (248) 313-9210
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Beaumont Medical Group Hospital Based Services
Practice addresses (Care Compare)
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5360
1340 S Commerce Rd
Walled Lake, MI 48390-3010
Phone (248) 438-6600
18101 Oakwood Blvd
Dearborn, MI 48124-4089
25614 Ford Rd
Dearborn Heights, MI 48127-3024
Phone (313) 791-8000
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3866
Hospital & facility affiliations
- Beaumont Hospital - Taylor
- Corewell Health Trenton Hospital
- Beaumont Hospital - Dearborn
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121103000121 | MI | Practitioner - Family Practice | 6305097130 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1593676 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urgent Care Center | Family Medicine | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current |
Accepting new patients | |
| Oakwood Ambulatory LLC | Family Medicine | Current |
Accepting new patients |
| Beaumont Medical Group Hospital -Based Services | Current |
Accepting new patients | |
| Advanced Care Center PLLC | Family Medicine | Current |
Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
25614 Ford Rd
Dearborn Heights, MI 48127
Phone (248) 363-3215
3677 Fort St
Lincoln Park, MI 48146
Phone (313) 383-1300
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
1340 S Commerce Rd
Walled Lake, MI 48390
Phone (248) 438-6600
Interoperability endpoints
- thage237008@direct.hfhs.org
- https://fhir4.healow.com/fhir/r4/HJDJDD/Endpoint/HJDJDD
- thage1236581@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1593676 | MI | Yes |
Addresses
Primary practice location
1340 S Commerce Rd
Walled Lake, MI 48390-3010
Mailing address
1340 S Commerce Rd
Walled Lake, MI 48390-3010
Phone (248) 438-6600
Other providers in Walled Lake, MI
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- Alexis Kianna Griffin
- Guided Hands Massage Therapy
- Lauren Haelterman
- Jamie L Hafke
- Reema Hakim
- John Salvatore Halmaghi
- Jacklyn Joan-Marie Hansen
- Emma Mary Harris
- Steven Hechtman
All providers in Walled Lake, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.