Individual provider Active NPI

Sami K Abufarha, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1104895697
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060143 Issued in MI
Practice address
5280 Oakman Blvd
Dearborn, MI 48126-4044
Phone
(313) 846-1997
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060143 MI Primary

Addresses

Primary practice location

5280 Oakman Blvd
Dearborn, MI 48126-4044

Mailing address

6685 Stonebridge E
W Bloomfield, MI 48322-3256
Phone (313) 846-1997

Other identifiers 1

IdentifierTypeStateIssuer
04687611MedicaidMI

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
I20050315000207 MI Practitioner - Internal Medicine 2062466170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sami Abu Farha MD PCGroup PAC ID 2264486372, 4 clinicians

Practice addresses (Care Compare)

5280 Oakman Blvd
Dearborn, MI 48126-4044
Phone (313) 846-1997

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060143MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sami Abu Farha MD PC Internal Medicine CurrentSince Mar 10, 2005 Accepting new patients

Locations

5237 Oakman Blvd
Dearborn, MI 48126
Phone (248) 420-1245

5280 Oakman Blvd
Dearborn, MI 48126
Phone (313) 846-1941

Interoperability endpoints

  • Direct secure messaging: sabufarha840023@direct.hfhs.org

Organizations & group practices 1

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 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1104895697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6685 STONEBRIDGE E",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223256",
            "telephone_number": "313-846-1997",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUFARHA",
        "first_name": "SAMI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04687611",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.