Dr Antonious S Attallah, MD - Medicare Interventional Cardiology in Roseville, MI

Dr Antonious S Attallah, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Roseville, Michigan. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Ascension St John Hospital and his current practice location is 25195 Kelly Road, Suite A, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 775-4594.

Dr Antonious S Attallah is licensed to practice in Michigan (license number 4301094176) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306081138.

Contact Information

Dr Antonious S Attallah, MD
25195 Kelly Road, Suite A,
Roseville, MI 48066-4909
(586) 775-4594
(586) 775-4506

Map and Direction




Physician's Profile

Full NameDr Antonious S Attallah
GenderMale
SpecialityInterventional Cardiology
Experience18 Years
Location25195 Kelly Road, Roseville, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Antonious S Attallah graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1306081138
  • Provider Enumeration Date: 12/08/2008
  • Last Update Date: 03/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9335384064
  • Enrollment ID: I20130328000154

Medical Identifiers

Medical identifiers for Dr Antonious S Attallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306081138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine BP10024918 (Texas)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 4301094176 (Michigan)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 4301094176 (Michigan)Primary
207UN0901XNuclear Medicine - Nuclear Cardiology 4301094176 (Michigan)Secondary
207R00000XInternal Medicine 4301094176 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital
Beaumont Hospital, TroyTroy, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension St John Hospital3173424082279

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Antonious S Attallah allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139
Entity NameAscension Medical Group Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942317631
PECOS PAC ID: 0648180406
Enrollment ID: O20031113000362
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Antonious S Attallah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Antonious S Attallah, MD
25195 Kelly Road, Suite A,
Roseville, MI 48066-4909

Ph: (586) 775-4594
Dr Antonious S Attallah, MD
25195 Kelly Road, Suite A,
Roseville, MI 48066-4909

Ph: (586) 775-4594

Reviews and Comments


Internal Medicine Doctors in Roseville, MI

Robert Lewis Marchese, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25810 Kelly Rd, Suite 3, Roseville, MI 48066
Phone: 586-777-9724    Fax: 586-777-9725
Benjamin O Osowa, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066
Phone: 586-552-8696    Fax: 586-552-4404
Dr. Majid Alzagoum, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066
Phone: 586-776-8877    Fax: 586-776-3092
Dr. Wahed Ishaqsei, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066
Phone: 586-778-4950    Fax: 586-778-4952
Dr. Mohamad K. Ajjour, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066
Phone: 586-776-8877    Fax: 586-776-3092
Dr. Ameer Abdulrazzak, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18001 E 10 Mile, Suite 1, Roseville, MI 48066
Phone: 586-218-5800    Fax: 586-218-5808
Dr. Madjid Mesgarzadeh, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 25910 Kelly Rd, Suite B, Roseville, MI 48066
Phone: 586-772-3366    Fax: 586-772-3355

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.