Active NPI
Houssam M Fadlallah, PA-C
- Medical Physician Assistant
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601003142
- Practice address
- 19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193 - Phone
- (313) 327-0044
- Fax
- (313) 347-9026
- NPI assigned
- Sep 16, 2005
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601003142 | MI | Primary |
Addresses
Primary practice location
19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193
Mailing address
19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193
Phone (313) 327-0044
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
43347 Riverbridge CT
Novi, MI 48375-4722
Phone (313) 675-9516
5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterford Urgent Care PC | Current | Accepting new patients | |
| Nextcare Michigan Providers PLLC | Current | Accepting new patients | |
| Center Street Pharmacy PLLC | Past | Accepting new patients |
Locations
3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300
2300 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 299-8550
100 Powell Dr
Ste 8
Dundee, MI 48131
Phone (734) 823-5900
20311 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 499-6000
37595 7 Mile Rd
Livonia, MI 48152
Phone (734) 462-2300
5800 Highland Rd
Waterford, MI 48327
Phone (248) 290-5700
375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1245772714
-
- Addiction Medicine (Internal Medicine) Physician
- Royal Oak, MI
- NPI 1649914383
-
dba Michigan Urgent Care
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1972106938
-
- Internal Medicine Physician
- Waterford, MI
- NPI 1659717932
-
dba Center Street Pharmacy
- Community/Retail Pharmacy
- Northville, MI
- NPI 1043109259
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dearborn, MI
- NPI 1427681246
-
dba Caretenders
- Home Health Agency
- Farmington Hills, MI
- NPI 1275678310
-
dba Michigan Community VNA
- Home Health Agency
- Bingham Farms, MI
- NPI 1699010553
-
dba Corsocare Hospice
- Community Based Hospice Care Agency
- Milford, MI
- NPI 1730447517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1215922109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19855 OUTER DR STE 207W",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242193",
"telephone_number": "313-327-0044",
"fax_number": "313-347-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19855 OUTER DR STE 207W",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242193",
"telephone_number": "313-327-0044",
"fax_number": "313-347-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADLALLAH",
"first_name": "HOUSSAM",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601003142",
"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 Oct 5, 2026; 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.