Active NPI
Mohamed Moustafa El-Fakharany, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301079614
- Practice address
- 44279 Vassar St
Canton, MI 48188-1037 - Phone
- (313) 207-6210
- NPI assigned
- May 9, 2007
- Last updated
- Dec 8, 2022
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301079614 | MI | Primary |
Addresses
Primary practice location
44279 Vassar St
Canton, MI 48188-1037
Mailing address
44279 Vassar St
Canton, MI 48188-1037
Phone (313) 207-6210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2130 W Central Ave
Suite 300
Toledo, OH 43606-3819
Phone (419) 534-3500
6245 N Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301079614 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jawad a Shah MD PC | Current | Accepting new patients | |
| Anha Medical PC | Current | Accepting new patients | |
| Yourpathologist PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Huron Pathology Associates PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Port Huron Physicians Medical Group PC | Current | Accepting new patients | |
| Pathlink of Ohio LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Mercy Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Jawad a Shah, MD PC | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University Physician Group | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
23302 W Warren St
Dearborn Hts, MI 48127
Phone (313) 423-5878
4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
704 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 398-2757
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000
4635 Howe Rd
Wayne, MI 48184
Phone (313) 436-0043
1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455
2130 W Central Ave
Ste 300
Toledo, OH 43606
Phone (419) 534-3500
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 11
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.
-
- Clinical Medical Laboratory
- Troy, MI
- NPI 1396345666
-
- Anatomic Pathology & Clinical Pathology Physician
- Garden City, MI
- NPI 1437907516
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
MI
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Huron, MI
- NPI 1588121685
-
- Specialist
- Flint, MI
- NPI 1942402391
-
dba Lake Huron Medical Group
- Family Medicine Physician
- Fort Gratiot, MI
- NPI 1598141640
-
- Anatomic Pathology & Clinical Pathology Physician
- Sandusky, OH
- NPI 1730883455
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1114667763
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Huron, MI
- NPI 1912214024
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1225242449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44279 VASSAR ST",
"city": "CANTON",
"state": "MI",
"postal_code": "481881037",
"telephone_number": "313-207-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44279 VASSAR ST",
"city": "CANTON",
"state": "MI",
"postal_code": "481881037",
"telephone_number": "313-207-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-FAKHARANY",
"first_name": "MOHAMED",
"middle_name": "MOUSTAFA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301079614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.