Individual provider Active NPI

Nabeel Toma, MD

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1982795126
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301063312 Issued in MI
Practice address
1700 Junction St
Detroit, MI 48209-2110
Phone
(313) 841-5500
Fax
(313) 841-5501
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301063312 MI Primary

Addresses

Primary practice location

1700 Junction St
Detroit, MI 48209-2110

Mailing address

1700 Junction St
Detroit, MI 48209-2110
Phone (313) 841-5500

Other identifiers 2

IdentifierTypeStateIssuer
4685690MedicaidMI
3508234791OtherMIBCBS OF MICHIGAN

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050129000155 MI Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4082664891 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laith Nafil MD PLLC CurrentSince Sep 16, 2022 Accepting new patients
Madison Heights Urgent Care, PC Pediatrics CurrentSince Dec 20, 2010 Accepting new patients
Redeemer Family Clinic PastSince Jan 3, 2005 Accepting new patients

Locations

28037 Dequindre Rd
Bldg B
Madison Heights, MI 48071
Phone (248) 546-7300

31200 Dequindre Rd
Warren, MI 48092
Phone (586) 939-1800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982795126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 JUNCTION ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092110",
            "telephone_number": "313-841-5500",
            "fax_number": "313-841-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 JUNCTION ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092110",
            "telephone_number": "313-841-5500",
            "fax_number": "313-841-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMA",
        "first_name": "NABEEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301063312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4685690",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "3508234791",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.