Individual provider Active NPI

Hatem M Ataya, MD

  • Internal Medicine Physician
  • West Branch, MI
National Provider Identifier
1881664829
Registry record updated Feb 28, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301079461 Issued in MI
Practice address
611 Court St
West Branch, MI 48661-9390
Phone
(989) 345-1000
Fax
(989) 345-3163
NPI assigned
Jan 24, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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 4301079461 MI Primary

Addresses

Primary practice location

611 Court St
West Branch, MI 48661-9390

Mailing address

611 Court St
PO Box 428
West Branch, MI 48661-9390
Phone (989) 345-1000

Other identifiers 2

IdentifierTypeStateIssuer
4698473MedicaidMI
OF51015OtherMIBLUE CROSS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group Past Accepting new patients
Sleep Diagnostics of Michigan PC PastSince May 1, 2001 Accepting new patients
Woodland Health Care Services PC PastSince Sep 24, 2004 Accepting new patients
Trust Care Clinic Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1881664829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "address_2": "PO BOX 428",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-1000",
            "fax_number": "989-345-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-1000",
            "fax_number": "989-345-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAYA",
        "first_name": "HATEM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4698473",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "OF51015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.