Haissam Ghabel El-Takech, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301081610 Issued in MI

Practice address

6636 N Telegraph Rd
Dearborn Heights, MI 48127

Phone

(313) 274-3123

Fax

(313) 274-3343

NPI assigned

May 11, 2006

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: el-takech.haissam.003.0220043@kkp.meditab.direct-ci.com

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.

• Kid Kare Pediatrics, PC

  • Pediatrics Physician
  • Dearborn Heights, MI
  • NPI 1093005613
  Medicare reassignment NPD Authorized official
• Advanced Family Clinic PLLC

  • Internal Medicine Physician
  • Dearborn Heights, MI
  • NPI 1629601745
  NPD (past) Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1841240538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-274-3123",
            "fax_number": "313-274-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-274-3123",
            "fax_number": "313-274-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-TAKECH",
        "first_name": "HAISSAM",
        "middle_name": "GHABEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301081610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marzieh Ekbatani, DDS
• Wassim El Awadi, DDS
• Catherine El Hadi, DDS
• Hussein El Khatib
• Taj Walid El-Sayed
• Dania El-Turk
• Natalie El-Zayat
• Hassan Elalem
• Mariam Elalem
• Elammar LLC

• Pediatrics Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.