Individual provider Active NPI

Saleh Ali Ghaith, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Detroit, MI
National Provider Identifier
1033326970
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
5304001212 Issued in MI
Practice address
13575 Lesure St
Detroit, MI 48227-3131
Phone
(313) 493-4410
Fax
(313) 493-4415
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083A0300X 5304001212 MI Primary
Internal Medicine Physician 207R00000X 4301084363 MI

Addresses

Primary practice location

13575 Lesure St
Detroit, MI 48227-3131

Mailing address

13575 Lesure St
Detroit, MI 48227-3131
Phone (313) 493-4410

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240325000684 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789774019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5304001212MIMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
House Calls Physicians PLLC Single Specialty PastSince May 19, 2011 Accepting new patients

Organizations & group practices 1

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1033326970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410",
            "fax_number": "313-493-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410",
            "fax_number": "313-493-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAITH",
        "first_name": "SALEH",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MI",
            "license": "5304001212",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.