Organization Active NPI

Sami Abu Farha MD PC

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1073664843
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAMI ABU FARHA MD PC
Practice address
5280 Oakman Blvd
Dearborn, MI 48126-4044
Phone
(313) 846-1997
Fax
(313) 846-1696
NPI assigned
Jan 16, 2007
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Sami Abu Farha, M.D.NPI 1104895697
Title
Owner
Phone
(313) 846-1997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5280 Oakman Blvd
Dearborn, MI 48126-4044

Mailing address

6175 Farmington Rd
West Bloomfield, MI 48322-2202
Phone (248) 613-0602

Other identifiers 1

IdentifierTypeStateIssuer
F94432OtherMIHAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050310000550 MI Part B Supplier - Clinic/Group Practice 2264486372 Receives reassigned benefits from 13 practitioners
Practice locations: Dearborn, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1017861Sami Abu Farha, MD PC5280 Oakman Blvd, Dearborn, MI 48126Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1073664843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 FARMINGTON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222202",
            "telephone_number": "248-613-0602",
            "fax_number": "313-846-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264044",
            "telephone_number": "313-846-1997",
            "fax_number": "313-846-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMI ABU FARHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "ABU FARHA",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-846-1997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "F94432",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.