NPIMap

Individual provider Active NPI

Bashar Yalldo, M.D.

  • Family Medicine Physician
  • Howell, MI
National Provider Identifier
1891133575
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301102834 Issued in MI
Practice address
1200 Byron Rd
Howell, MI 48843-1007
Phone
(517) 546-0200
Fax
(517) 546-4669
NPI assigned
Jun 4, 2013
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 4301102834 MI Primary

Addresses

Primary practice location

1200 Byron Rd
Howell, MI 48843-1007

Mailing address

1200 Byron Rd
Howell, MI 48843-1007
Phone (517) 546-0200

Other identifiers 1

IdentifierTypeStateIssuer
1891133575MedicaidMI

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
I20160628002118 MI Practitioner - Family Practice 2264736271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
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)

1200 Byron Rd
Howell, MI 48843-1007
Phone (517) 546-0200

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301102834MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Aug 1, 2016 Accepting new patients
Medical Aesthetic Center PLC Family Medicine Current Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jan 7, 2017 Accepting new patients
Henry Ford Health Providence Hospital Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Seton Health Corporation of Southeastern Michigan Family Medicine CurrentSince Jan 7, 2017 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Itest Health PLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1200 Byron Rd
Howell, MI 48843
Phone (517) 546-0200

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

1225 S Latson Rd
Ste 350
Howell, MI 48843
Phone (517) 546-0200

14700 Farmington Rd
Ste 105
Livonia, MI 48154
Phone (248) 330-7098

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

Interoperability endpoints

  • Direct secure messaging: byalldo1158320@direct.hfhs.org

Organizations & group practices 8

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1891133575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431007",
            "telephone_number": "517-546-0200",
            "fax_number": "517-546-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431007",
            "telephone_number": "517-546-0200",
            "fax_number": "517-546-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALLDO",
        "first_name": "BASHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301102834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891133575",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.