WASSIM NOUREDDINE MD – NPI #1548421167
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

WASSIM NOUREDDINE is a physician located in JACKSON, MI. NPPES has assigned the NPI number 1548421167 to WASSIM NOUREDDINE on June 17, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on Oct 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WASSIM NOUREDDINE below.

NPI Profile for
WASSIM NOUREDDINE

NPI Number
1548421167
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WASSIM NOUREDDINE
Credentials
MD
Primary location
3333 SPRING ARBOR RD STE 100
JACKSON, MI 49203-8602
Phone: (517) 205-1000 Fax:
1 Other location(s):
120 N Washington Sq Ste 300
Lansing, MI 48933-1658
Phone: (630) 933-2489
Mailing address
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone: (313) 874-4806 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WASSIM NOUREDDINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS GROUP NUMBERIL0222075
otherCDPG HFS PAYEE IDIL3631498336019001
medicaidIL036120723
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
MI 4301097637
207R00000X
- Internal Medicine
MI 4301097637

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2005
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WASSIM NOUREDDINE is affiliated with the following medical group(s):
  • HOSPITAL
    • EDWARD W SPARROW HOSPITAL
      1215 E MICHIGAN AVENUE
      LANSING, MI 48912
    • HENRY FORD ALLEGIANCE HEALTH
      205 N EAST AVE
      JACKSON, MI 49201
    • MUNSON MEDICAL CENTER
      1105 SIXTH STREET
      TRAVERSE CITY, MI 49684

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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