Individual provider Active NPI

Faleh Husseini, M.D.

  • Obstetrics & Gynecology Physician
  • Roseville, MI
National Provider Identifier
1295827251
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301034270 Issued in MI
Practice address
25650 Kelly Rd
Suite 10
Roseville, MI 48066-4904
Phone
(586) 777-2005
Fax
(586) 777-2886
NPI assigned
Sep 28, 2006
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FH034270 MI
Obstetrics & Gynecology Physician 207V00000X 4301034270 MI Primary

Addresses

Primary practice location

25650 Kelly Rd
Suite 10
Roseville, MI 48066-4904

Mailing address

25650 Kelly Rd
Suite 10
Roseville, MI 48066-4904
Phone (586) 777-2005

Other identifiers 1

IdentifierTypeStateIssuer
1092722MedicaidMI

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
I20080325000542 MI Practitioner - Obstetrics/Gynecology 7810073269 Practice locations: Roseville, MI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FH034270MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Past Accepting new patients
Faleh Husseini MD Specialist PastSince Oct 30, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1295827251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25650 KELLY RD",
            "address_2": "SUITE 10",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664904",
            "telephone_number": "586-777-2005",
            "fax_number": "586-777-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 KELLY RD",
            "address_2": "SUITE 10",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664904",
            "telephone_number": "586-777-2005",
            "fax_number": "586-777-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEINI",
        "first_name": "FALEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "FH034270",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301034270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.