Individual provider Active NPI

Maha Nazmi Abu-Khdeir, M.D.

  • Pediatric Infectious Diseases Physician
  • Detroit, MI
National Provider Identifier
1831383488
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
4301098153 Issued in MI
Practice address
3901 Beaubien - 5TH FL - Carl's BLDG
Children's Hospital of Mi
Detroit, MI 48201
Phone
(313) 745-5682
NPI assigned
Aug 28, 2007
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301098153 MI
Pediatric Infectious Diseases Physician 2080P0208X 4301098153 MI Primary

Addresses

Primary practice location

3901 Beaubien - 5TH FL - Carl's BLDG
Children's Hospital of Mi
Detroit, MI 48201

Mailing address

4201 St. Antoine - Uhc 5D - #226
University Pediatricians
Detroit, MI 48201
Phone (313) 745-4405

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
I20150604002218 MI Practitioner - Pediatric Medicine 0840511622 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098153MIMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince May 1, 2016 Accepting new patients
River Oaks Primary Care PLLC Pediatrics CurrentSince Dec 1, 2019 Accepting new patients
University Pediatricians Pediatrics CurrentSince May 1, 2016 Accepting new patients

Locations

20211 Ann Arbor Trl
Dearborn Hts, MI 48127
Phone (313) 336-4444

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22774/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mabu-khd@direct.dmc.org
  • Direct secure messaging: mabukhdeir989820@direct.hfhs.org
  • Direct secure messaging: maha.abu-khdeir.1@22774.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1831383488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE - UHC 5D - #226",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN - 5TH FL - CARL'S BLDG",
            "address_2": "CHILDREN'S HOSPITAL OF MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-KHDEIR",
        "first_name": "MAHA",
        "middle_name": "NAZMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301098153",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MI",
            "license": "4301098153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.