NPIMap

Individual provider Active NPI

Jawad Thamer, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1972573731
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
430108367 Issued in MI
Practice address
2040 Monroe St
Suite 206
Dearborn, MI 48124-2950
Phone
(313) 757-7647
Fax
(313) 757-7671
NPI assigned
Jan 25, 2006
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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 430108367 MI Primary

Addresses

Primary practice location

2040 Monroe St
Suite 206
Dearborn, MI 48124-2950

Mailing address

2040 Monroe St
Suite 206
Dearborn, MI 48124-2950
Phone (313) 757-7647

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
I20051020000410 MI Practitioner - Internal Medicine 9335165265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thamer Medical PLLCGroup PAC ID 0547484024, 2 clinicians
DRS Extended Care PLLCGroup PAC ID 6406383843, 2 clinicians

Practice addresses (Care Compare)

2040 Monroe St
Suite 206
Dearborn, MI 48124-2950
Phone (313) 757-7647

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430108367MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thamer Medical PLLC Internal Medicine CurrentSince May 15, 2014 Accepting new patients
Oakland Physical Medicine PC CurrentSince Oct 1, 2007 Accepting new patients
DRS Extended Care PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Optalis Dearborn Heights Opco LLC Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
HFV Opco, LLC Past Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

2040 Monroe St
Ste 206
Dearborn, MI 48124
Phone (313) 730-9260

Organizations & group practices 7

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1972573731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "SUITE 206",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-757-7647",
            "fax_number": "313-757-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "SUITE 206",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-757-7647",
            "fax_number": "313-757-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMER",
        "first_name": "JAWAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "430108367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.