Sam Hakki Hackette, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

4301104354 Issued in MI

Practice address

27789 Mound Rd Ste 100
Warren, MI 48092-2697

Phone

(313) 209-3353

Fax

(313) 406-7255

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prof. Sam Hakki Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mini Invasive Orthopedics

  • Clinic/Center
  • Warren, MI
  • NPI 1467803296
  Medicare reassignment NPD Authorized official
• Computerized Joint Surgeryllc

  • Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1841685195
  Medicare reassignment NPD
• MD Spine and Health Center LLC

  • Medical Specialty Clinic/Center
  • Warren, MI
  • NPI 1659885200
  Medicare reassignment NPD
• Radiology Group LLC

  • Health Educator
  • Warren, MI
  • NPI 1528513199
  Medicare reassignment NPD
• Mini Invasive Orthopedics

  • Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1477173508
  NPD (past) Authorized official
• Express Health PC

  • General Practice Physician
  • Pontiac, MI
  • NPI 1245546415
  NPD (past)
• Orthopedic PC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1376885087
  NPD (past)
• US Healthcare Mi, PC

  • General Practice Physician
  • Pontiac, MI
  • NPI 1861765695
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1043253602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483110880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27789 MOUND RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922697",
            "telephone_number": "313-209-3353",
            "fax_number": "313-406-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKKI HACKETTE",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "4301104354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "MI7592002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "HAKKI",
            "prefix": "PROF.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Starla Hairston
• Saad Hajeri
• Yasser All Haji, MD
• Diana Hakim-Taila, NP
• Sakina Hakim, PA
• Hakki Medical Technologies
• /Kayla Sue Hall
• Arendia Hall
• Autumn Kayloni Hall
• Chance Hall

• Adult Reconstructive Orthopaedic Surgery Physician in Warren, MI
• Providers in Warren, MI by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.