Organization Active NPI

Heights Family Medicine Clinic PLLC

Doing business as Heights Family Medicine

  • Family Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1285198291
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEIGHTS FAMILY MEDICINE CLINIC PLLC
Doing business as
Heights Family Medicine
Practice address
22350 Ford Rd
Dearborn Heights, MI 48127-2421
Phone
(313) 406-2410
Fax
(313) 406-6484
NPI assigned
Jan 23, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Sally Khalifa, DONPI 1427430487
Title
Physician
Phone
(313) 406-2410

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

22350 Ford Rd
Dearborn Heights, MI 48127-2421

Mailing address

22350 Ford Rd
Dearborn Heights, MI 48127-2421
Phone (313) 406-2410

Other names 1

  • Heights Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226002717 MI Part B Supplier - Clinic/Group Practice 9234478850 Receives reassigned benefits from 4 practitioners
Practice locations: Dearborn Heights, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2167689Heights Family Medicine Clinic PLLC22350 Ford St, Dearborn Heights, MI 48127Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

22350 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 278-2788

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19805/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1285198291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22350 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-406-2410",
            "fax_number": "313-406-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22350 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-406-2410",
            "fax_number": "313-406-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS FAMILY MEDICINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-406-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heights Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.