Bilal Abdulla, NP
Individual provider Active NPI Nurse Practitioner · Dearborn, MI
NPI 1912469701 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1912469701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704278780 (MI)
- Practice address
- 5245 Schaefer Rd Ste D
Dearborn, MI 48126-3257 - Phone
- (248) 862-5311
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- My Clinic PLLC
Practice addresses (Care Compare)
4025 Maple St
Suite B
Dearborn, MI 48126-3532
Phone (313) 269-4184
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190517001997 | MI | Practitioner - Nurse Practitioner | 6103169990 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Visiting Physicians, PLLC | Current |
Accepting new patients | |
| My Clinic PLLC | Current |
Accepting new patients |
Locations
4025 Maple St
Ste B
Dearborn, MI 48126
Phone (313) 269-4184
6060 Miller Rd
Ste D
Dearborn, MI 48126
16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311
4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704278780 | MI | Yes |
Addresses
Primary practice location
5245 Schaefer Rd Ste D
Dearborn, MI 48126-3257
Mailing address
7304 Hartwell St
Dearborn, MI 48126-1522
Phone (313) 283-0224
Other providers in Dearborn, MI
- Taha Abduljabar
- Mariam Abduljabbar
- Mahmoud Najib Abdulkarim
- Mehad Taha Abdulkarim
- Husam Ahmad Abdulkhaleq
- Dina Ahmed Abdulla
- Essalh Abdulla
- Layla Zane Abdulla
- Hafsah M Abdullah
- Nader S Abdullah
All providers in Dearborn, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.