NPIMap

Individual provider Active NPI

Samih Mike Ajami, D.O.

  • Family Medicine Physician
  • Canton, MI
National Provider Identifier
1295113132
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021653 Issued in MI
Practice address
6300 N Haggerty Rd
Ste 220
Canton, MI 48187-4472
Phone
(313) 283-1019
NPI assigned
May 12, 2015
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101021653 MI Primary

Addresses

Primary practice location

6300 N Haggerty Rd
Ste 220
Canton, MI 48187-4472

Mailing address

PO Box 446
Ann Arbor, MI 48106-0446
Phone (734) 747-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524000163 MI Practitioner - Family Practice 6204132954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton Family Health LLCGroup PAC ID 1557750973, 2 clinicians

Practice addresses (Care Compare)

6300 N Haggerty Rd
Suite 220
Canton, MI 48187-4472
Phone (313) 283-1019

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Family Health LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

6300 N Haggerty Rd
Ste 220
Canton, MI 48187
Phone (313) 283-1019

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24595/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samih.ajami.1@24595.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1295113132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481060446",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N HAGGERTY RD",
            "address_2": "STE 220",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874472",
            "telephone_number": "313-283-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAMI",
        "first_name": "SAMIH",
        "middle_name": "MIKE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.