Samir F Fuleihan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301039393 Issued in MI

Practice address

3990 John R St
Detroit, MI 48201-2018

Phone

(313) 745-8521

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Pain Clinic Associates PLLCGroup PAC ID 3870894892, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfuleiha@direct.dmc.org

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.

• University Pain Clinic Associates, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Detroit, MI
  • NPI 1598138661
  Medicare reassignment Care Compare group NPD Authorized official
• Anesthesia Services Associates, PC

  • Anesthesiology Physician
  • Lapeer, MI
  • NPI 1497797153
  Medicare reassignment NPD
• Northstar Anesthesia of Michigan PLLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1871986372

  MI

  Medicare reassignment NPD
• University Pain Clinic - Rochester PLLC

  • Anesthesiology Physician
  • Rochester, MI
  • NPI 1720405012
  NPD Authorized official
• Harper Hutzel Hospital

  • Clinic/Center
  • Detroit, MI
  • NPI 1417150327
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1003857996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 522",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULEIHAN",
        "first_name": "SAMIR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301039393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466999010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Fucile, FNP-C
• Stephanie Fudalla, PT, DPT
• Andres Adolfo Fuentes Baldemar, MD, MMSC
• Celeste Fuentes-Mattson
• Hanaka Fukada, M.D.
• Evan Theodore Fulford, LMSW
• Alisha Jasina Fulks, BSW
• Elizabeth Anne Marie Fulks, CPNP-AC
• Full Bloom Counseling and Consulting, PLLC
• Full House Services LLC

• Anesthesiology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.