Individual provider Active NPI

Qasim Kadhim Alkhafaf, MD

  • Psychiatry Physician
  • Southfield, MI
National Provider Identifier
1861951014
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301509054 Issued in MI
Practice address
22170 W 9 Mile Rd
Southfield, MI 48033-6007
Phone
(248) 372-6800
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301509054 MI Primary
Psychiatry Physician 2084P0800X 325993 LA

Addresses

Primary practice location

22170 W 9 Mile Rd
Southfield, MI 48033-6007

Mailing address

22170 W 9 Mile Rd
Southfield, MI 48033-6007
Phone (248) 372-6800

Other practice location 1

1221 S Clearview Pkwy Bldg A
Jefferson, LA 70121-1011
Phone (504) 842-4025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230825002291 MI Practitioner - Psychiatry 3971935032 Reassigns benefits to 2 organizations
I20240125001498 LA Practitioner - Psychiatry 3971935032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

1201 S Clearview Pkwy
Jefferson, LA 70121-1015
Phone (504) 842-3317

22170 W 9 Mile Rd
Southfield, MI 48033-6007
Phone (248) 372-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325993LAMDPsychiatry Physician
4301509054MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc Psychiatry CurrentSince Apr 25, 2024 Accepting new patients
Hegira Health, Inc. CurrentSince Apr 25, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 16, 2024 Accepting new patients
Easterseals Morc Health Care, Inc. Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 16, 2024 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

1201 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4800

1514 Jefferson Hwy
New Orleans, LA 70121

1221 S Clearview Pkwy
Bldg A
New Orleans, LA 70121
Phone (504) 842-3510

1221 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4600

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

33505 Schoolcraft Rd
Ste 3
Livonia, MI 48150
Phone (734) 721-0200

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Interoperability endpoints

  • Direct secure messaging: qalkhafaf470612@direct.ochsner.org

Organizations & group practices 6

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1861951014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22170 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480336007",
            "telephone_number": "248-372-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22170 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480336007",
            "telephone_number": "248-372-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Clearview Pkwy Bldg A",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "LA",
            "postal_code": "701211011",
            "country_code": "US",
            "telephone_number": "504-842-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKHAFAF",
        "first_name": "QASIM",
        "middle_name": "KADHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301509054",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "325993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.