Individual provider Active NPI

Andy Alnajjar, DO

  • Family Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1770164972
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101027534 Issued in MI
Practice address
1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967
Phone
(248) 723-2400
Fax
(248) 723-5794
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101027534 MI Primary

Addresses

Primary practice location

1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967

Mailing address

28345 Beck Rd Ste 410
Wixom, MI 48393-4745
Phone (248) 723-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001987 MI Practitioner - Family Practice 6800337049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan College of Medicine and Surgery, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Pediatrics of Bloomfield PCGroup PAC ID 8325144819, 3 clinicians

Practice addresses (Care Compare)

1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967
Phone (248) 723-2400

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027534MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatrics of Bloomfield PC CurrentSince Sep 1, 2024 Accepting new patients
Podcare PC Past Accepting new patients

Locations

1109 W Long Lake Rd
Ste 101
Bloomfield Hills, MI 48302
Phone (248) 723-2400

1109 W Long Lake Rd
Bloomfld Hls, MI 48302
Phone (248) 723-2400

28345 Beck Rd
Ste 410
Wixom, MI 48393
Phone (248) 331-1700

Interoperability endpoints

  • Direct secure messaging: andyalnajjar@impbpc.allscriptsdirect.net

Organizations & group practices 2

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1770164972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28345 BECK RD STE 410",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934745",
            "telephone_number": "248-723-2400",
            "fax_number": "248-723-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W LONG LAKE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021967",
            "telephone_number": "248-723-2400",
            "fax_number": "248-723-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNAJJAR",
        "first_name": "ANDY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.