Organization Active NPI

Janan Hawil, MD, PC

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1770111379
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JANAN HAWIL, MD, PC
Practice address
35450 Dequindre Rd Ste 103
Sterling Heights, MI 48310-4810
Phone
(586) 795-2980
Fax
(586) 795-3419
NPI assigned
Mar 30, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Dr. Janan Hawil, MDNPI 1609082247
Title
MD/Practice Owner
Phone
(586) 795-2980

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

35450 Dequindre Rd Ste 103
Sterling Heights, MI 48310-4810

Mailing address

35450 Dequindre Rd Ste 103
Sterling Heights, MI 48310-4810
Phone (586) 795-2980

Other identifiers 1

IdentifierTypeStateIssuer
1609082247MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 5867953719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627004107 MI Part B Supplier - Clinic/Group Practice 8123562485 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

35450 Dequindre Rd
Ste 103
Sterling Hts, MI 48310
Phone (586) 274-2979

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": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1770111379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD STE 103",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "586-795-2980",
            "fax_number": "586-795-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD STE 103",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "586-795-2980",
            "fax_number": "586-795-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANAN HAWIL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "HAWIL",
        "authorized_official_first_name": "JANAN",
        "authorized_official_title_or_position": "MD/PRACTICE OWNER",
        "authorized_official_telephone_number": "586-795-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609082247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5867953719",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "35450 Dequindre Rd Ste 103",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483104810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.