Individual provider Active NPI

Taref Alabed, M.D.

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1861428039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301080733 Issued in MI
Practice address
6550 W Warren Ave
Detroit, MI 48210-1134
Phone
(313) 897-7700
Fax
(313) 897-5991
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301080733 MI Primary

Addresses

Primary practice location

6550 W Warren Ave
Detroit, MI 48210-1134

Mailing address

6550 W Warren Ave
Detroit, MI 48210-1134
Phone (313) 897-7700

Other identifiers 3

IdentifierTypeStateIssuer
TA080733OtherMIBLUE CROSS BLUE SHIELD MI
TA080733OtherMIBLUE CARE NETWORK
4466325MedicaidMI

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
I20071106000409 MI Practitioner - Pediatric Medicine 6507953643 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080733MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wayne Family Health Centers CurrentSince Oct 6, 2024 Accepting new patients
Western Wayne Family Health Centers CurrentSince Oct 6, 2024 Accepting new patients
Western Wayne Family Health Centers Past Accepting new patients

Locations

4700 Schaefer Rd
Ste 255
Dearborn, MI 48126
Phone (313) 561-5100

4700 Schaefer Rd
Ste 340
Dearborn, MI 48126
Phone (313) 561-5100

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

26650 Eureka Rd
Ste C1
Taylor, MI 48180
Phone (734) 941-4991

Interoperability endpoints

  • Direct secure messaging: taref.alabed.1@17288.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861428039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101134",
            "telephone_number": "313-897-7700",
            "fax_number": "313-897-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101134",
            "telephone_number": "313-897-7700",
            "fax_number": "313-897-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABED",
        "first_name": "TAREF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301080733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "TA080733",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "TA080733",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4466325",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.