Individual provider Active NPI

Harvey P Sabbota, D.O.

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1306836390
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101005981 Issued in MI
Practice address
32255 Northwestern Hwy Ste 130
Farmington Hills, MI 48334-1505
Phone
(248) 723-5880
Fax
(248) 723-5889
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101005981 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 130
Farmington Hills, MI 48334-1505

Mailing address

32255 Northwestern Hwy Ste 130
Farmington Hills, MI 48334-1505
Phone (248) 723-5880

Other identifiers 1

IdentifierTypeStateIssuer
1306836390MedicaidMI

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
I20080620000625 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5698846434 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
MMG 1 PC Internal Medicine CurrentSince Jan 14, 2011 Accepting new patients
MMG 1 PC Internal Medicine CurrentSince Jan 14, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients

Locations

32255 Northwestern Hwy
Ste 130
Farmington Hills, MI 48334
Phone (248) 538-6463

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

32255 Northwestern Hwy
Ste 130A
Farmington Hills, MI 48334
Phone (248) 723-5880

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

28625 Northwestern Hwy
Ste 150
Southfield, MI 48034
Phone (248) 357-3960

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

5799 W Maple Rd
Ste 159
West Bloomfield, MI 48322
Phone (248) 626-0001

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306836390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341505",
            "telephone_number": "248-723-5880",
            "fax_number": "248-723-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341505",
            "telephone_number": "248-723-5880",
            "fax_number": "248-723-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBOTA",
        "first_name": "HARVEY",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101005981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306836390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.