Talal Sabrah, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704321499 Issued in MI

Practice address

5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619

Phone

(313) 724-9000

Fax

(734) 982-1541

NPI assigned

Jan 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prime Care Medical Clinic PLLCGroup PAC ID 1052590171, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DADDCA
• FHIR API: https://fhir4.healow.com/fhir/r4/BAIAAA

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.

• Prime Care Medical Clinic PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1861702433
  Medicare reassignment Care Compare group NPD
• Core Psych PLLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1871069039
  Medicare reassignment NPD
• Elias H Kassab MD PLLC

  • Interventional Cardiology Physician
  • Dearborn, MI
  • NPI 1437585106
  Medicare reassignment NPD
• Fairlane Home Health Care Agency Inc

  • Home Health Agency
  • Detroit, MI
  • NPI 1902124530
  NPD (past) Authorized official
• Caremore Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Westland, MI
  • NPI 1568705564
  NPD (past)

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

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1124668264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-724-9000",
            "fax_number": "313-982-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-724-9000",
            "fax_number": "734-982-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABRAH",
        "first_name": "TALAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704321499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.corepsychpllc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3815 Pelham St Ste 13",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481243852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohammad Sabbagh, M.D.
• Sarina Ibrahim Sabbagh
• Sammit K Sabharwal, DO
• Subhash C. Sabharwal, M.D.
• Lisa Sabra
• Aya Feras Sabri
• Sonya Hussan Sabri
• Shalini Sabu, LPC,TLLP
• Karen Zalewski Sabuda
• Diane Louise Sacchetti, M.D.

• Gerontology Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.