Individual provider Active NPI

Adam Mohamed Fahs

  • Orthopaedic Surgery Physician
  • Clinton TWP, MI
National Provider Identifier
1063822377
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301105375 Issued in MI
Practice address
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Phone
(586) 263-2300
NPI assigned
May 8, 2014
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2019009468 MO
Orthopaedic Surgery Physician 207X00000X 4301105375 MI Primary

Addresses

Primary practice location

15855 19 Mile Rd
Clinton TWP, MI 48038-3504

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 876-9490

Other practice location 1

One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2663

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
I20180615000687 MI Practitioner - Orthopedic Surgery 6305061425 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11900 E 12 Mile Rd
308 Amg Cardiothoracic Surgical Associa
Warren, MI 48093-3491
Phone (248) 849-2600

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

47601 Grand River Ave
Suite 2
Novi, MI 48374-1233
Phone (248) 344-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105375MIMDOrthopaedic Surgery Physician
2019009468MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince May 23, 2023 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Aug 12, 2020 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 10, 2023 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Aug 12, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 10, 2023 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 29, 2018 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Aug 12, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Henry Ford Cornerstone Medical Group Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince May 23, 2023 Accepting new patients
Henry Ford Health Providence Hospital Orthopaedic Surgery CurrentSince Aug 12, 2020 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22101 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-4867

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

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

30055 Northwestern Hwy
Ste L-30
Farmington Hills, MI 48334
Phone (248) 865-4238

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

3535 W 13 Mile Rd
Ste 744
Royal Oak, MI 48073
Phone (248) 551-1852

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

11900 E 12 Mile Rd
Ste 300
Warren, MI 48093
Phone (586) 751-1515

11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1063822377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-876-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-2663",
            "fax_number": "573-882-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHS",
        "first_name": "ADAM",
        "middle_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2019009468",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301105375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.