Individual provider Active NPI

Labeed Sami Nouri, M.D.

  • Surgery Physician
  • Sterling Heights, MI
National Provider Identifier
1154355709
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301088422 Issued in MI
Practice address
3058 Metropolitan Pkwy
# 204
Sterling Heights, MI 48310-3671
Phone
(586) 698-2358
Fax
(586) 698-2169
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301088422 MI Primary

Addresses

Primary practice location

3058 Metropolitan Pkwy
# 204
Sterling Heights, MI 48310-3671

Mailing address

3142 Albany Dr
Sterling Heights, MI 48310-2927
Phone (586) 698-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060809000078 MI Practitioner - Orthopedic SurgeryPractitioner - General PracticePractitioner - General Surgery 5496708174 Reassigns benefits to 1 organization
I20170417001813 CA Practitioner - Orthopedic Surgery 5496708174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Peter Medical CenterGroup PAC ID 2062782113, 2 clinicians
St Peter Medical Center PCGroup PAC ID 5597768739, 2 clinicians

Practice addresses (Care Compare)

1071 Broadway
El Cajon, CA 92021-4804
Phone (619) 332-8484

3058 Metropolitan Pkwy
Suite 204
Sterling Heights, MI 48310-3680
Phone (586) 698-2358

330 S Magnolia Ave
Suite 302
El Cajon, CA 92020-5224

677 -93 S Magnolia Ave
El Cajon, CA 92020-5224
Phone (619) 332-8484

Hospital & facility affiliations

  • Destiny Home Health, Inc Home health agency, West Toluca Lake, CA, CCN 757085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Saint Peter Medical Center Orthopaedic Surgery CurrentSince Jun 20, 2017 Accepting new patients
Roanoke Orthopaedic Center, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

330 S Magnolia Ave
Ste 302
El Cajon, CA 92020
Phone (619) 332-8484

3058 Metropolitan Pkwy
Ste 204
Sterling Heights, MI 48310
Phone (586) 698-2358

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1154355709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 ALBANY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102927",
            "telephone_number": "586-698-2358",
            "fax_number": "586-698-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY",
            "address_2": "# 204",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103671",
            "telephone_number": "586-698-2358",
            "fax_number": "586-698-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURI",
        "first_name": "LABEED",
        "middle_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301088422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.