Individual provider Active NPI

Bassam Jabrail Thwainey, M.D.

  • Family Medicine Physician
  • Oak Park, MI
National Provider Identifier
1871821389
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301066393 Issued in MI
Practice address
15300 W 9 Mile Rd
Oak Park, MI 48237
Phone
(248) 968-2276
Fax
(248) 968-2276
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301066393 MI Primary

Addresses

Primary practice location

15300 W 9 Mile Rd
Oak Park, MI 48237

Mailing address

15300 W 9 Mile Rd
Oak Park, MI 48237-2584
Phone (248) 968-2003

Other practice location 1

7106 Park Ave
Allen Park, MI 48101-2038
Phone (313) 383-8310

Other names 1

  • Bassam Jabrail Assi Former name

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
I20100312000035 MI Practitioner - Family Practice 8820123177 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

15300 W 9 Mile Rd
1 Oak Park Medical Center
Oak Park, MI 48237-2585
Phone (248) 968-2003

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
Henry Ford Semi Medical Group Family Medicine Current Accepting new patients
Violet Health PC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jan 1, 2014 Accepting new patients
Dr. J. Thwainey MD PC CurrentSince Jan 1, 2010 Accepting new patients
Henry Ford Semi Medical Group Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Universal Health Group, Inc. Past Accepting new patients
Tlec Corp Family Medicine PastSince Jan 1, 2023 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
United Wellness Centers Inc Family Medicine PastSince Dec 19, 2011 Accepting new patients
Universal Health Group, Inc Past Accepting new patients

Locations

7106 Park Ave
Allen Park, MI 48101
Phone (313) 383-8310

33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675

26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790

15300 W 9 Mile Rd
Ste 1
Oak Park, MI 48237
Phone (248) 968-2003

5296 Crooks Rd
#A
Troy, MI 48098
Phone (231) 631-4707

Interoperability endpoints

  • Direct secure messaging: bthwainey207723@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Interim Hospice of Oakland CountyNovi, MI, CCN 231680 Hospice Contracted Managing Employee (0.1%) Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1871821389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372584",
            "telephone_number": "248-968-2003",
            "fax_number": "248-968-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-968-2276",
            "fax_number": "248-968-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7106 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481012038",
            "country_code": "US",
            "telephone_number": "313-383-8310",
            "fax_number": "313-383-2756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THWAINEY",
        "first_name": "BASSAM",
        "middle_name": "JABRAIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301066393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BASSAM",
            "last_name": "ASSI",
            "middle_name": "JABRAIL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.