Individual provider Active NPI

Fakhr Abou-Rass, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1306195680
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301036230 Issued in MI
Practice address
500 Kirts Blvd
Suite 200
Troy, MI 48084-4134
Phone
(248) 824-6060
Fax
(248) 686-0772
NPI assigned
Sep 3, 2012
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301036230 MI Primary
Medical Oncology Physician 207RX0202X 36230 MI

Addresses

Primary practice location

500 Kirts Blvd
Suite 200
Troy, MI 48084-4134

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200313000378 IL Practitioner - Internal Medicine 8224270756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urgent Care LTDGroup PAC ID 3274785449, 5 clinicians

Practice addresses (Care Compare)

10 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 448-8913

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301036230MIMDInternal Medicine Physician
36230MIMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urgent Care LTD CurrentSince Jan 29, 2020 Accepting new patients
Sinai Medical Centers LTD CurrentSince Nov 1, 2020 Accepting new patients

Locations

5907 W 63rd St
Chicago, IL 60638
Phone (708) 966-4820

10 Orland Square Dr
Orland Park, IL 60462
Phone (708) 448-8913

10 Orland Square Dr
Ste A
Orland Park, IL 60462

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIIEAD/Endpoint/JIIEAD

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": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1306195680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844134",
            "telephone_number": "248-824-6060",
            "fax_number": "248-686-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU-RASS",
        "first_name": "FAKHR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-03",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301036230",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "36230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.