Organization Active NPI

M Sarsam MD PLLC

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1184220949
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
M SARSAM MD PLLC
Practice address
6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone
(313) 846-1700
Fax
(313) 846-2717
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Muther Sarsam, MD
Title
Owner
Phone
(313) 846-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6840 Greenfield Rd
Dearborn, MI 48126-1702

Mailing address

6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone (313) 846-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201231000740 MI Part B Supplier - Clinic/Group Practice 9537572904 Receives reassigned benefits from 4 practitioners
Practice locations: Dearborn, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0982265M Sarsam MD PLLC6840 Greenfield Road, Dearborn, MI 48126Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1184220949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261702",
            "telephone_number": "313-846-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261702",
            "telephone_number": "313-846-1700",
            "fax_number": "313-846-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SARSAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SARSAM",
        "authorized_official_first_name": "MUTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-846-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.