NPIMap

Individual provider Active NPI

Abed L Dabaja, MD

  • Internal Medicine Physician
  • Garden City, MI
National Provider Identifier
1780200469
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4351046383 Issued in MI
Practice address
6245 Inkster Rd # Gme
Garden City, MI 48135-4001
Phone
(734) 458-4486
NPI assigned
Jun 18, 2020
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 4351046383 MI Primary

Addresses

Primary practice location

6245 Inkster Rd # Gme
Garden City, MI 48135-4001

Mailing address

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-4486

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
I20230710000936 MI Practitioner - Internal Medicine 9335561877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Hospitalist GroupGroup PAC ID 5193194033, 15 clinicians

Practice addresses (Care Compare)

5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone (734) 421-6333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Treasurer Payroll-County of Wayne CurrentSince Jul 1, 2025 Accepting new patients
Apollo Hospitalist Group CurrentSince Jul 1, 2023 Accepting new patients
Wayne County Treasurer-Payroll County of Wayne CurrentSince Jul 1, 2025 Accepting new patients
Apollo Family Health Services PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Prime Healthcare Services - Garden City LLC Past Accepting new patients
Optalis Dearborn Heights Opco LLC Past Accepting new patients

Locations

5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

9021 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 871-1926

33030 Van Born Rd
Wayne, MI 48184
Phone (734) 727-7101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Optalis Health and Rehabilitation of Dearborn HeightsDearborn Heights, MI, CCN 235428 Skilled nursing facility Adp of the SNF Dec 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1780200469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD # GME",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAJA",
        "first_name": "ABED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351046383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.