Organization Active NPI

Dearborn Ped & Adol Med Center II PLLC

  • Pediatrics Physician
  • Dearborn, MI
National Provider Identifier
1265310338
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DEARBORN PED & ADOL MED CENTER II PLLC
Practice address
2547 Monroe St
Dearborn, MI 48124-3013
Phone
(313) 791-8300
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Mohamed Fakih, MDNPI 1003437856
Title
Owner
Phone
(313) 605-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2547 Monroe St
Dearborn, MI 48124-3013

Mailing address

2547 Monroe St
Dearborn, MI 48124-3013
Phone (313) 791-8300

National Provider Directory

National Provider Directory

Locations

2547 Monroe St
Dearborn, MI 48124
Phone (313) 563-2940

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1265310338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243013",
            "telephone_number": "313-791-8300",
            "fax_number": "313-791-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243013",
            "telephone_number": "313-791-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PED & ADOL MED CENTER II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-605-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.