Bilal Abdulla, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704278780 Issued in MI

Practice address

5245 Schaefer Rd Ste D
Dearborn, MI 48126-3257

Phone

(248) 862-5311

NPI assigned

Apr 2, 2019

Last updated

May 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

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 PLLCGroup PAC ID 4486087111, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• My Clinic PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1689216699
  Medicare reassignment Care Compare group NPD
• Vitality Visiting Physicians, PLLC

  • General Practice Physician
  • Garden City, MI
  • NPI 1073230876
  Medicare reassignment NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1912469701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261522",
            "telephone_number": "313-283-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 SCHAEFER RD STE D",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263257",
            "telephone_number": "248-862-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLA",
        "first_name": "BILAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704278780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taha Abduljabar
• Mariam Abduljabbar
• Mahmoud Najib Abdulkarim
• Mehad Taha Abdulkarim
• Husam Ahmad Abdulkhaleq, LPC
• Dina Ahmed Abdulla
• Essalh Abdulla, LLMSW
• Layla Zane Abdulla
• Hafsah M Abdullah, PHARMD
• Nader S Abdullah, RN

• Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.