Individual provider Active NPI

Nejla Abdul-Massih Israel, MD

  • Family Medicine Physician
  • Oak Park, MI
National Provider Identifier
1821045311
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301065962 Issued in MI
Practice address
15300 W 9 Mile Rd Ste 1
Oak Park, MI 48237-2585
Phone
(248) 968-2003
Fax
(248) 967-2276
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4301065962 MI Primary

Addresses

Primary practice location

15300 W 9 Mile Rd Ste 1
Oak Park, MI 48237-2585

Mailing address

15300 W 9 Mile Rd Ste 1
Oak Park, MI 48237-2585
Phone (248) 968-2003

Other practice location 1

22250 Providence Dr
Suite 500
Southfield, MI 48075-4825
Phone (248) 849-3441

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
I20060711000196 MI Practitioner - Family Practice 5799798930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

15300 W 9 Mile Rd
1 Oak Park Medical Center
Oak Park, MI 48237-2585
Phone (248) 968-2003

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065962MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Henry Ford Semi Medical Group Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 1, 2017 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Sep 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Semi Medical Group Family Medicine Current Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
University Family Physicians Family Medicine Past Accepting new patients

Locations

26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790

15300 W 9 Mile Rd
Ste 1
Oak Park, MI 48237
Phone (248) 968-2003

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

22250 Providence Dr
Ste 500
Southfield, MI 48075
Phone (248) 849-3441

Interoperability endpoints

  • Direct secure messaging: nisrael1132984@direct.hfhs.org

Organizations & group practices 8

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 1

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821045311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD STE 1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372585",
            "telephone_number": "248-968-2003",
            "fax_number": "248-967-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD STE 1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372585",
            "telephone_number": "248-968-2003",
            "fax_number": "248-967-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22250 Providence Dr",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754825",
            "country_code": "US",
            "telephone_number": "248-849-3441",
            "fax_number": "248-849-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "NEJLA",
        "middle_name": "ABDUL-MASSIH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.