Active NPI
Maha Nazmi Abu-Khdeir, M.D.
- Pediatric Infectious Diseases Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 4301098153
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098153 | MI | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| River Oaks Primary Care PLLC | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | 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
- https://api.platform.athenahealth.com/22774/brand/1/csg/1/fhir/r4
- mabu-khd@direct.dmc.org
- mabukhdeir989820@direct.hfhs.org
- 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.
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1437794112
Pediatrics
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.