Individual provider Active NPI

Mohamed Moustafa El-Fakharany, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Canton, MI
National Provider Identifier
1225242449
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301079614 Issued in MI
Practice address
44279 Vassar St
Canton, MI 48188-1037
Phone
(313) 207-6210
NPI assigned
May 9, 2007
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 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
I20070829000174 MI Practitioner - Pathology 3577663616 Reassigns benefits to 6 organizations
I20230711002193 OH Practitioner - Pathology 3577663616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Laboratory Medicine of Greater ToledoGroup PAC ID 2860474459, 21 clinicians
Yourpathologist PLLCGroup PAC ID 1850830951, 3 clinicians

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

LicenseStateTypeSpecialty
4301079614MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Jul 1, 2020 Accepting new patients
Anha Medical PC CurrentSince Oct 14, 2020 Accepting new patients
Yourpathologist PLLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2025 Accepting new patients
Huron Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 8, 2019 Accepting new patients
Port Huron Physicians Medical Group PC CurrentSince Aug 8, 2018 Accepting new patients
Pathlink of Ohio LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 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 CurrentSince Jul 1, 2020 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2025 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.