Alex Bouhachem, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002050 Issued in MI

Practice address

10801 W Warren Ave
Dearborn, MI 48126-1191

Phone

(734) 895-4530

NPI assigned

Jul 11, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providers Home Care Home health agency, Dearborn, MI, CCN 237771

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Alex Bouhachem DPM PC

  • Podiatrist
  • Dearborn, MI
  • NPI 1932250149
  Medicare reassignment NPD Authorized official
• Allen Primary Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Dearborn Heights, MI
  • NPI 1699432286
  Medicare reassignment NPD Authorized official
• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment NPD
• Alex Bouhachem DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1124237516

  Foot & Ankle Surgery

  NPD Authorized official
• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providers Home Care, LLC

  • Home Health Agency
  • Dearborn, MI
  • NPI 1790972123
  Care Compare affiliation

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1912905340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 N ROSEVERE AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281242",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261191",
            "telephone_number": "734-895-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23801 W Warren St",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481272276",
            "country_code": "US",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUHACHEM",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134918586",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Boros-Laurain, P.A.
• Kimberly A Borrego, CRNA
• Ricardo D Borrego, M.D.
• Mary Botu
• Madeleine Boudreau, LLMSW
• Abdelhakim Boukhatmi
• Charlene Boulton
• Kathryn Bourdeau
• Chase T Bouschor, LMSW
• Vivian Bousi, HS

• Foot & Ankle Surgery Podiatrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.