Individual provider Active NPI

Sami Adnan Abbasi, DO

  • Dermatology Physician
  • Woodhaven, MI
National Provider Identifier
1083778690
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101014894 Issued in MI
Practice address
21401 Allen Rd
Woodhaven, MI 48183-1665
Phone
(734) 675-0835
Fax
(734) 675-0873
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sami Abbasi DO PLLC 6 clinicians

Practice addresses (Care Compare)

21401 Allen Rd
Woodhaven, MI 48183-1665
Phone (734) 675-0835

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions1587
Removal of skin cancer111
Removal or shaving of skin growth46
Skin biopsy398

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
I20070420000381 MI Practitioner - Dermatology 2567567407 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sami Abbasi DO PLLC Dermatology CurrentSince Jul 1, 2010 Accepting new patients
Joseph a. George,MD,PC Past Accepting new patients
Khaled H El-Hoshy MD PC Dermatology PastSince Apr 1, 2005 Accepting new patients
Wyandotte Physician Practices Past Accepting new patients

Locations

23050 West Rd
Ste 240
Brownstown Twp, MI 48183
Phone (734) 281-4197

21401 Allen Rd
Woodhaven, MI 48183
Phone (734) 675-0835

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5101014894 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

21401 Allen Rd
Woodhaven, MI 48183-1665

Mailing address

21401 Allen Rd
Woodhaven, MI 48183-1665
Phone (734) 675-0835

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2025.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1083778690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21401 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831665",
            "telephone_number": "734-675-0835",
            "fax_number": "734-675-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21401 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831665",
            "telephone_number": "734-675-0835",
            "fax_number": "734-675-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "SAMI",
        "middle_name": "ADNAN",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101014894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

Verify at the official NPI Registry.