NPIMap

Individual provider Active NPI

Samir Alsawah, MD

  • Hematology & Oncology Physician
  • Port Huron, MI
National Provider Identifier
1063453413
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301051703 Issued in MI
Practice address
1231 Pine Grove Ave
Ste 2F
Port Huron, MI 48060-3500
Phone
(810) 982-5200
Fax
(810) 982-9776
NPI assigned
Jun 9, 2006
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301051703 MI Primary

Addresses

Primary practice location

1231 Pine Grove Ave
Ste 2F
Port Huron, MI 48060-3500

Mailing address

1231 Pine Grove Ave
Suite 2F
Port Huron, MI 48060-3500
Phone (810) 982-5200

Other identifiers 3

IdentifierTypeStateIssuer
110G41039OtherMIBCBSM ALSAWAH
3165470MedicaidMI
P78652OtherMIBCN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address salsawah75917@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000093 MI Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4183637465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Medical Center PCGroup PAC ID 0648283929, 9 clinicians

Practice addresses (Care Compare)

1221 Pine Grove Ave
FL 2
Port Huron, MI 48060-3511
Phone (810) 982-5200

28100 Grand River Ave
Farmington Hills, MI 48336-5970

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

44344 Dequindre Rd
Sterling Heights, MI 48314-1040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 16, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3577 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-5490

3601 W 13 Mile Rd
Royal Oak, MI 48073

44344 Dequindre Rd
Ste 330
Sterling Heights, MI 48314
Phone (248) 964-1460

44199 Dequindre Rd
Troy, MI 48085
Phone (248) 828-5083

Interoperability endpoints

  • Direct secure messaging: salsawah1223079@epic00.shdirect.org
  • Direct secure messaging: salsawah75917@direct.beaumont.edu
  • Direct secure messaging: samir.alswah@hmcpc.direct-geniusdoc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1063453413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE",
            "address_2": "SUITE 2F",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-982-5200",
            "fax_number": "810-982-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE",
            "address_2": "STE 2F",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-982-5200",
            "fax_number": "810-982-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAWAH",
        "first_name": "SAMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301051703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ALSAWAH",
            "identifier": "110G41039",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3165470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P78652",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salsawah75917@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1231 Pine Grove Ave",
            "address_2": "Ste 2F",
            "city": "Port Huron",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480603500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.