Abdulkader Abdulrazzak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301036525 Issued in MI

Practice address

1513 S Center Rd
Burton, MI 48509-1728

Phone

(810) 744-0660

NPI assigned

Sep 2, 2006

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abdulrazzak@pmi.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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.

• Henry Ford Health Genesys Hospital

  dba Downtown Health Center-Podiatry

  • Podiatrist
  • Flint, MI
  • NPI 1528283033
  Medicare reassignment NPD
• Ascension Genesys Hospital

  dba Ascension Genesys Short Term Rehabilitation Center

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1831291509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091728",
            "telephone_number": "810-744-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091728",
            "telephone_number": "810-744-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULRAZZAK",
        "first_name": "ABDULKADER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301036525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3235860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Change of Health Acupuncture Clinic
• Jessiana Aaron
• Mazin Abdelmalek, DC
• Abdul Tabbaa MD PC
• Mufaddal Abdulali, MD
• Jacob A Abu-Aita, DC
• Sanjay Agrawal, DDS
• Nilufa Akhter, M.D.
• Muhammad Haitham Al-Midani, MD FACP
• Kayla Alaimo, MD

• Internal Medicine Physician in Burton, MI
• Providers in Burton, 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 Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.