Sami M Baraka MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SB058513 Issued in MI

Legal business name

SAMI M BARAKA MD PC

Practice address

1622 Eureka Rd
Wyandotte, MI 48192-6104

Phone

(734) 282-0600

Fax

(734) 282-0500

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Sami Baraka, MDNPI 1003874082

Title

Physician

Phone

(734) 282-0600

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sami M Baraka, MD

  • Family Medicine Physician
  • Wyandotte, MI
  • NPI 1003874082
  Medicare reassignment NPD Authorized official
• Howard Joseph Schertzinger Jr., MD

  • Sports Medicine (Internal Medicine) Physician
  • Florence, KY
  • NPI 1992797922

  Hospice and Palliative Medicine

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1053418236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926104",
            "telephone_number": "734-282-0600",
            "fax_number": "734-282-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926104",
            "telephone_number": "734-282-0600",
            "fax_number": "734-282-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMI M BARAKA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BARAKA",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-282-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SB058513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SB058513",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0825289",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3391669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Rozanski, P.T.
• Zhanna Rozenberg
• Nancy Sabal, D.O.
• Nanjappa C Sadasivan, MD
• Rafi Saleem
• Ramsha Samra
• Eileen Ayres Sarb, M.A.
• Peter Sawabini, ACNP
• Krishna K. Sawhney, M.D.
• Amanda Sayre, LLPC

• Family Medicine Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.