Individual provider Active NPI

Mohamed Fakih, M.D.

  • Pediatrics Physician
  • Dearborn, MI
National Provider Identifier
1003437856
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301511338 Issued in MI
Practice address
2547 Monroe St
Dearborn, MI 48124-3013
Phone
(313) 745-4195
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301511338 MI Primary

Addresses

Primary practice location

2547 Monroe St
Dearborn, MI 48124-3013

Mailing address

2547 Monroe St
Dearborn, MI 48124-3013
Phone (313) 791-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511338MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Ped & Adol Med Center II PLLC Single Specialty CurrentSince Sep 3, 2025 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

2547 Monroe St
Dearborn, MI 48124
Phone (313) 563-2940

Organizations & group practices 2

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1003437856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243013",
            "telephone_number": "313-791-8300",
            "fax_number": "313-791-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243013",
            "telephone_number": "313-745-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKIH",
        "first_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301511338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.