Individual provider Active NPI

Bishr Abdassalam Al-Ujayli, M.D.

  • Infectious Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1790797355
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301054466 Issued in MI
Practice address
1349 S. Rochester Road
Suite 115
Rochester Hills, MI 48307-3817
Phone
(248) 759-4852
Fax
(248) 299-9860
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301054466 MI
Infectious Disease Physician 207RI0200X 4301054466 MI Primary

Addresses

Primary practice location

1349 S. Rochester Road
Suite 115
Rochester Hills, MI 48307-3817

Mailing address

1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3150
Phone (248) 759-4852

Other identifiers 8

IdentifierTypeStateIssuer
11270493OtherMICAQH PROVIDER ID
0F32901OtherMIBCBS OF MICHIGAN
5509OtherMICAPE HEALTH
11645OtherMIMCARE HMO
4265425 10MedicaidMI
10059388004OtherMIWELLNESS PLAN
134440OtherMICARE CHOICES
4301054466OtherMISTATE LICENSE

Other names 1

  • Dr. Bishr Abdassalam Ujayli Other name

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
I20040604000158 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 5597747337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bishr Ujayli MD PC 4 clinicians

Practice addresses (Care Compare)

1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3151
Phone (248) 759-4852

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
89.24

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: balujayli63330@direct.hfhs.org

Organizations & group practices 1

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 7

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1790797355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S. ROCHESTER ROAD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-UJAYLI",
        "first_name": "BISHR",
        "middle_name": "ABDASSALAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301054466",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301054466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11270493",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0F32901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH",
            "identifier": "5509",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE HMO",
            "identifier": "11645",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4265425 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN",
            "identifier": "10059388004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "134440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301054466",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BISHR",
            "last_name": "UJAYLI",
            "middle_name": "ABDASSALAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.