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YASSIR ATTALLA PLLC
NPI 1063625671
Internal Medicine in Southgate, MI

Active since May 08, 2007CLIA 23D2132048 · Waiver
15450 NORTHLINE RD STE 102, SOUTHGATE, MI 48195(734) 282-2020(734) 282-2002 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017, Jul 19, 2017 and 1 more (4 updates tracked since 2017).

About Yassir Attalla Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YASSIR ATTALLA PLLC (NPI 1063625671) is a healthcare organization registered as an internal medicine in Southgate, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Yassir A Attalla, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063625671
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameYASSIR ATTALLA PLLC
Location Address15450 NORTHLINE RD STE 102Southgate, MI 48195-2490
Mailing Address15450 Northline Rd Ste 102Southgate, MI 48195-2490 · (734) 720-7270 · Fax (734) 288-0934
Phone(734) 282-2020
Fax(734) 282-2002
Organization SubpartNo
Authorized OfficialYassir A AttallaAuthorized Official · (313) 399-3477
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1063625671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · YA048664
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15450 NORTHLINE RD STE 102, Southgate, MI 48195
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Other Identifiers 1

Medicaid4995674MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2132048

Yassir Attalla, PLLC · Southgate, MI
Active · expires Jun 11, 2027
CLIA Number23D2132048
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorYassir A. Attalla
Laboratory Phone(734) 720-7270
Laboratory LocationYassir Attalla, PLLC15450 Northline Suite 102, Southgate, MI 48195
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YASSIR ATTALLA M.D.
Internal Medicine
15450 NORTHLINE RD STE 102
SOUTHGATE, MI 48195
Wayne County (734) 720-7270
AHMAD R ZEIBO MD PLLC
Internal Medicine
15450 NORTHLINE RD STE 102
SOUTHGATE, MI 48195
Wayne County (734) 720-7270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yassir Attalla PLLC's NPI number?

The NPI number for Yassir Attalla PLLC is 1063625671. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Yassir Attalla PLLC located?

Yassir Attalla PLLC is located at 15450 Northline Rd Ste 102, Southgate, MI 48195. The listed phone number is (734) 282-2020.

What is Yassir Attalla PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Yassir Attalla PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2132048) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Yassir Attalla PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Yassir Attalla PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yassir Attalla PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.