Individual provider Active NPI

Fares Fehmi Yasin, M.D.

  • General Practice Physician
  • Dearborn, MI
National Provider Identifier
1255427472
Registry record updated Feb 2, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301087049 Issued in MI
Practice address
4634 Greenfield Rd
Dearborn, MI 48126-2844
Phone
(313) 749-7650
Fax
(313) 749-7651
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301087049 MI Primary

Addresses

Primary practice location

4634 Greenfield Rd
Dearborn, MI 48126-2844

Mailing address

24418 Michigan Ave
Dearborn, MI 48124-1837
Phone (313) 427-8826

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Berrios Antuna Family Practice, PC PastSince Apr 1, 2009 Accepting new patients
Michigan Counceling Services Inc Past Accepting new patients
Mobil Visiting Professional, Inc. Past Accepting new patients
Fares Yasin General Practice PastSince Apr 13, 2009 Accepting new patients
Miracle Visiting Professionals, Inc. Past Accepting new patients
M & N Cola Inc. Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1255427472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24418 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241837",
            "telephone_number": "313-427-8826",
            "fax_number": "313-427-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262844",
            "telephone_number": "313-749-7650",
            "fax_number": "313-749-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASIN",
        "first_name": "FARES",
        "middle_name": "FEHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301087049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.