Individual provider Active NPI

David Joseph Samrah, MD

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1124606751
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301511171 Issued in MI
Practice address
31200 Dequindre Rd
Warren, MI 48092-1344
Phone
(586) 939-1800
NPI assigned
Apr 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 4301511171 MI Primary

Addresses

Primary practice location

31200 Dequindre Rd
Warren, MI 48092-1344

Mailing address

918 Country Club Dr
Saint Clair Shores, MI 48082-2929

Other practice location 1

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 601-4805

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
I20240717003242 MI Practitioner - Internal Medicine 2163823840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laith Nafil MD PLLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Baldwin Urgent Care PLLC CurrentSince Jul 1, 2024 Accepting new patients
Primary Medicine PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Vax Solution Inc Internal Medicine Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients

Locations

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

31200 Dequindre Rd
Warren, MI 48092
Phone (586) 939-1800

Interoperability endpoints

  • Direct secure messaging: dsamrah1150121@direct.hfhs.org

Organizations & group practices 6

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 1

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1124606751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 COUNTRY CLUB DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31200 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921344",
            "telephone_number": "586-939-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071863",
            "country_code": "US",
            "telephone_number": "248-601-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMRAH",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301511171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.