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WAEL TAHA M.D.
NPI 1578501748
Internal Medicine - Endocrinology, Diabetes & Metabolism in Detroit, MI

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
4201 ST ANTOINE, SUITE 5A, DETROIT, MI 48201(313) 745-4525(313) 993-0085 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wael Taha M.d. NPPES

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

WAEL TAHA M.D. (NPI 1578501748) is an individual endocrinology, diabetes & metabolism provider in Detroit, Michigan, licensed in Michigan (4301091739) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1578501748
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameWAEL TAHACredential: M.D.
Location Address4201 ST ANTOINE, SUITE 5ADetroit, MI 48201-2153
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (313) 745-4525 · Fax (313) 993-0085
Phone(313) 745-4525
Fax(313) 993-0085
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 25, 2016
✔ NPI 1578501748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MI · 4301091739
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301091739 (MI)
4201 ST ANTOINE, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 10

Other39094KY · Medical License
Medicare PIN0903666
Medicare PIN4301091739
Medicare PIN0601436
Medicare PIN0P30630681MI
Medicare UPINI20968
Medicare PIN0935311
Medicaid64090418KY
Other000000354853Bcbs Provider Number
Medicare PINP00156579KY

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wael Taha M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345204657
PECOS Enrollment IDI20101021001065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Wael Taha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Group
Same address
Advanced Practice Midwife
4201 SAINT ANTOINE ST, SUITE 4E&F
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1437198231 (313) 745-4380
Access Ipa
6.4 mi
Family Medicine
6450 MAPLE
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1760682371 (313) 216-2230
Medical Consultant PLLC
21 mi
Endocrinology, Diabetes & Metabolism
4507 ROLLING RIDGE RD
W Bloomfield, MI 48323
  • Reassigned Medicare billing, Michigan enrollment
NPI 1417532847 (248) 952-7445
Covenant Medical Center, Inc
87 mi
Family Medicine
1447 N HARRISON ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
NPI 1063955136 (989) 583-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
518 services96 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
240 services114 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
148 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services67 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
67 services36 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
67 services38 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers30 claims101 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims30 services$1.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers43 claims43 services$183.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

GEOFFREY ROSS BARGER MD
Psychiatry & Neurology (Neurology)
4201 ST ANTOINE, SUITE 8D
DETROIT, MI 48201
Wayne County (313) 745-4275
KUMAR RAJAMANI MD
Psychiatry & Neurology (Neurology)
4201 ST ANTOINE, SUITE 8A & 8B
DETROIT, MI 48201
Wayne County (313) 745-4275
SYEDA LAIBAH ALI M.D.
Student in an Organized Health Care Education/Training Program
4201 ST ANTOINE, SUITE 8C-UHC
DETROIT, MI 48201
Wayne County (313) 745-1302
KRISHNA BALABHADRAPATRUNI MD
Internal Medicine
4201 ST ANTOINE, UHC 5C
DETROIT, MI 48201
Wayne County (313) 577-4342
ROBERT PHILIP LISAK MD
Psychiatry & Neurology (Neurology)
4201 ST ANTOINE, SUITE 8A & 8B
DETROIT, MI 48201
Wayne County (313) 745-4275
DR. JACOB GORDON SMITH DO
Student in an Organized Health Care Education/Training Program
4201 ST ANTOINE, UHC-9C
DETROIT, MI 48201
Wayne County (313) 745-5146
JOEL DAVID STEINBERG MD
Internal Medicine (Geriatric Medicine)
4201 ST ANTOINE, UNIVERSITY HEALTH CENTER STE 5B
DETROIT, MI 48201
Wayne County (888) 264-0102
DARLENE JOYCE ALLEN CNM
Midwife
4201 ST ANTOINE, STE 4C
DETROIT, MI 48201
Wayne County (313) 745-4525

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 Wael Taha's NPI number?

The NPI number for Wael Taha is 1578501748. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Wael Taha located?

Wael Taha practices at 4201 St Antoine Suite 5A, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Wael Taha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Wael Taha enrolled in Medicare?

Yes. Wael Taha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wael Taha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wael Taha reassigns Medicare benefits to 4 organizations: University Physician Group (Detroit, MI), Access Ipa (Dearborn, MI), Medical Consultant PLLC (W Bloomfield, MI) and Covenant Medical Center, Inc (Saginaw, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wael Taha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wael Taha 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 and 2 other insurers list Wael Taha 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.

Is Wael Taha affiliated with any hospitals?

According to CMS data, Wael Taha is affiliated with Trinity Health Oakland Hospital, Harper University Hospital, Beaumont Hospital Royal Oak, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Wael Taha was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.