Individual provider Active NPI

Sara Haidar-El-Atrache, M.D.

  • Pediatrics Physician
  • Garden City, MI
National Provider Identifier
1295082113
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301101339 Issued in MI
Practice address
28248 Ford Rd
Garden City, MI 48135-2927
Phone
(734) 455-2222
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301101339 MI Primary

Addresses

Primary practice location

28248 Ford Rd
Garden City, MI 48135-2927

Mailing address

28248 Ford Rd
Garden City, MI 48135-2927
Phone (734) 458-2222

Other names 1

  • Dr. Sara Haidar Ahmad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150609000893 MI Practitioner - Pediatric Medicine 0547581084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince May 4, 2015 Accepting new patients
Thrive Pediatrics PLLC Pediatrics CurrentSince Apr 6, 2025 Accepting new patients
University Pediatricians Pediatrics CurrentSince May 4, 2015 Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

28248 Ford Rd
Garden City, MI 48135
Phone (734) 455-2222

Interoperability endpoints

  • Direct secure messaging: shaidar-@direct.dmc.org

Organizations & group practices 4

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1295082113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28248 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352927",
            "telephone_number": "734-458-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28248 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352927",
            "telephone_number": "734-455-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDAR-EL-ATRACHE",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301101339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HAIDAR AHMAD",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.