A3 Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

A3 PRIMARY CARE

Practice address

4050 W Maple Rd Ste B
Bloomfield Hills, MI 48301-3148

Phone

(248) 885-8211

NPI assigned

Oct 25, 2021

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana El Masri

Title

Credentialing Coordinator

Phone

(248) 215-0048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Manish N Kesliker, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639121841
  Medicare reassignment NPD
• Supak Sookkasikon, M.D.

  • Family Medicine Physician
  • Bloomfield Township, MI
  • NPI 1649376922
  Medicare reassignment NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1780348086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD STE B",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-885-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD STE B",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-885-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A3 PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "EL MASRI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "248-215-0048"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2020 Family Vision BH LLC
• Abby B Segal, MSW,LLC
• Sameh Abdallah, PT
• Mona William Abdelmeseh, RPT
• Fadia Abdouni, DDS
• Hala Abdullah

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.