Active NPI
Samer A. Kafelghazal, MD
- Internal Medicine Physician
- Livonia, MI
National Provider Identifier
1235147133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301058710
- Practice address
- 16322 Middlebelt
Livonia, MI 48154 - Phone
- (734) 522-8590
- Fax
- (734) 522-7686
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301058710 | MI | Primary |
Addresses
Primary practice location
16322 Middlebelt
Livonia, MI 48154
Mailing address
30001 Hickory Lane
Franklin, MI 48025
Phone (248) 865-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFCAAA/Endpoint/IFCAAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235147133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30001 HICKORY LANE",
"city": "FRANKLIN",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-865-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16322 MIDDLEBELT",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-522-8590",
"fax_number": "734-522-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAFELGHAZAL",
"first_name": "SAMER",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301058710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.