Michigan Health Practice PLLC
Organization Active NPI Sports Medicine (Family Medicine) Physician · Farmington Hills, MI
NPI 1033901723 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1033901723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- Legal business name
- MICHIGAN HEALTH PRACTICE PLLC
- Practice address
- 27750 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5006 - Phone
- (248) 702-5050
- Fax
- (877) 408-1039
- NPI assigned
- May 20, 2025
- Organization subpart
- No
Authorized official
- Name
- John Maarouf, DO
- Title
- Owner
- Phone
- (586) 994-1816
Practitioners 4
-
John Sami Maarouf, D.O
-
Rania Dado, MSN, FNP-C
-
Sukhmandeep Kaur, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2335969 | Michigan Health Practice | Certificate of waiver | Dec 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250812001190 | MI | Part B Supplier - Clinic/Group Practice | 2163920810 |
Receives reassigned benefits from 1 practitioner Practice locations: Farmington Hills, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician |
207QS0010X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
27750 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5006
Mailing address
27750 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5006
Phone (248) 702-5050
NPI Registry JSON
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1033901723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27750 MIDDLEBELT RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345006",
"telephone_number": "248-702-5050",
"fax_number": "877-408-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27750 MIDDLEBELT RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345006",
"telephone_number": "248-702-5050",
"fax_number": "877-408-1039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN HEALTH PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "MAAROUF",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-994-1816",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Farmington Hills, MI · Sports Medicine (Family Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.