Individual provider Active NPI

Yasir Azhar Abdulmunem, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1821330473
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.128365 Issued in OH
Practice address
2799 W Grand Blvd
Henry Ford Hospital, Medical Education Department
Detroit, MI 48202-2608
Phone
(313) 916-2600
NPI assigned
Mar 21, 2013
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.128365 OH
Family Medicine Physician 207Q00000X 4301103013 MI
Family Medicine Physician 207Q00000X 35.128365 OH Primary

Addresses

Primary practice location

2799 W Grand Blvd
Henry Ford Hospital, Medical Education Department
Detroit, MI 48202-2608

Mailing address

1 Ford PL
Ste 2E
Detroit, MI 48202-3450
Phone (313) 874-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160801000454 OH Practitioner - Emergency Medicine 5890927636 Reassigns benefits to 5 organizations
I20161012000578 MI Practitioner - Family Practice 5890927636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Emergency Professionals IncGroup PAC ID 0547433328, 6 clinicians

Practice addresses (Care Compare)

139 Garau St
Bluffton, OH 45817-1027
Phone (419) 358-9010

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.98 of 100Reported as group
Quality
55.52
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.128365OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Family Medicine Current Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Mar 17, 2019 Accepting new patients
Blanchard Valley Regional Health Center Emergency Medicine CurrentSince Mar 17, 2019 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince Nov 3, 2019 Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 11

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 3

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1821330473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "address_2": "STE 2E",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4316",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULMUNEM",
        "first_name": "YASIR",
        "middle_name": "AZHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.128365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301103013",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.128365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.