NPIMap

Individual provider Active NPI

Wafa Afif Abbud, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1871581322
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301084979 Issued in MI
Practice address
1335 S Linden Rd
Suite C
Flint, MI 48532-3420
Phone
(810) 720-6070
Fax
(810) 720-6075
NPI assigned
Oct 10, 2005
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084979 MI Primary

Addresses

Primary practice location

1335 S Linden Rd
Suite C
Flint, MI 48532-3420

Mailing address

1335 S Linden Rd
Suite C
Flint, MI 48532-3420
Phone (810) 720-6070

Other identifiers 2

IdentifierTypeStateIssuer
P00312950OtherMIRAILROAD MEDICARE
4865400MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000774 MI Practitioner - Internal Medicine 6709775406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084979MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland Internal Medicine Current Accepting new patients
McLaren Medical Group CurrentSince Oct 1, 2010 Accepting new patients
McLaren Flint Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
McLaren Medical Group Internal Medicine Current Accepting new patients
McLaren Flint CurrentSince Apr 1, 2012 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
McLaren Flint Current Accepting new patients
North East Ohio Group Practice LLC Internal Medicine Past Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients
North Ohio Heart Center Inc Internal Medicine Past Accepting new patients
Allen G. Trager, D.O., P.C. Internal Medicine Past Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

1314 S Linden Rd
Flint, MI 48532
Phone (810) 342-1700

1314 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 342-1700

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1871581322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S LINDEN RD",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323420",
            "telephone_number": "810-720-6070",
            "fax_number": "810-720-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S LINDEN RD",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323420",
            "telephone_number": "810-720-6070",
            "fax_number": "810-720-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBUD",
        "first_name": "WAFA",
        "middle_name": "AFIF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00312950",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4865400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.