Individual provider Active NPI

Thaeer Sawa, MD

  • General Practice Physician
  • Sterling Heights, MI
National Provider Identifier
1093109241
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301107413 Issued in MI
Practice address
38800 Ryan Rd Ste 102
Sterling Heights, MI 48310-2993
Phone
(586) 883-7935
Fax
(586) 999-5940
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301107413 MI Primary

Addresses

Primary practice location

38800 Ryan Rd Ste 102
Sterling Heights, MI 48310-2993

Mailing address

38800 Ryan Rd Ste 102
Sterling Heights, MI 48310-2993
Phone (586) 883-7935

Other practice location 1

35450 Dequindre Rd Ste 106
Sterling Heights, MI 48310-4810
Phone (586) 381-6869

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
I20161101000777 MI Practitioner - General PracticePractitioner - General Surgery 0446552525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

38800 Ryan Rd
Sterling Heights, MI 48310-2993
Phone (586) 883-7935

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thaeer Sawa MD PLLC General Practice CurrentSince Feb 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

38800 Ryan Rd
Ste 102
Sterling Hts, MI 48310
Phone (586) 274-0123

35450 Dequindre Rd
Ste 106
Sterling Hts, MI 48310
Phone (248) 524-9994

Organizations & group practices 2

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 5

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1093109241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-883-7935",
            "fax_number": "586-999-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-883-7935",
            "fax_number": "586-999-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35450 Dequindre Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104810",
            "country_code": "US",
            "telephone_number": "586-381-6869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAWA",
        "first_name": "THAEER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301107413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.