Organization Active NPI

Wasif Hafeez MD PC

  • Infectious Disease Physician
  • West Bloomfield, MI
National Provider Identifier
1861613739
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
WH055371 Issued in MI
Legal business name
WASIF HAFEEZ MD PC
Practice address
5542 Hobnail Cir
West Bloomfield, MI 48322-1628
Phone
(313) 592-3620
Fax
(810) 765-8169
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Wasif Hafeez, MDNPI 1245281435
Title
President
Phone
(810) 765-8104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X WH055371 MI Primary

Addresses

Primary practice location

5542 Hobnail Cir
West Bloomfield, MI 48322-1628

Mailing address

5542 Hobnail Cir
West Bloomfield, MI 48322-1628
Phone (313) 592-3620

Other identifiers 1

IdentifierTypeStateIssuer
4788249MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729000949 MI Part B Supplier - Clinic/Group Practice 5991733081 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

22341 W 8 Mile Rd
Fl 2
Detroit, MI 48219
Phone (313) 592-3630

6001 W Outer Dr
Ste 205
Detroit, MI 48235
Phone (313) 966-1045

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1861613739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 HOBNAIL CIR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221628",
            "telephone_number": "313-592-3620",
            "fax_number": "810-765-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 HOBNAIL CIR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221628",
            "telephone_number": "313-592-3620",
            "fax_number": "810-765-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIF HAFEEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "HAFEEZ",
        "authorized_official_first_name": "WASIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-765-8104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "WH055371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4788249",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.