Active NPI
Wathek Sakka, MD
- Internal Medicine Physician
- Taylor, MI
National Provider Identifier
1316027865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301068542
- Practice address
- 23611 Goddard Rd
Taylor, MI 48180 - Phone
- (734) 287-6110
- Fax
- (734) 287-9620
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301068542 | MI | Primary |
Addresses
Primary practice location
23611 Goddard Rd
Taylor, MI 48180
Mailing address
23611 Goddard Rd
Taylor, MI 48180
Phone (734) 287-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4341993 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23611 Goddard Rd
Taylor, MI 48180-4046
Phone (734) 287-6110
Hospital & facility affiliations
- Millennium Home Health Care
- Beaumont Hospital - Taylor
- Beaumont Hospital - Dearborn
- Vibra Hospital of Southeastern Mi-Taylor Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068542 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wathek Sakka MD PC | Internal Medicine | Current | Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Oakwood Healthcare Inc | Past | Accepting new patients | |
| Vibra of Southeastern Michigan LLC | Past | Accepting new patients | |
| Robert H Dickason D O P C | Past | Accepting new patients |
Locations
23611 Goddard Rd
Taylor, MI 48180
Phone (734) 287-4871
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1427331354
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- Surgery Physician
- Trenton, MI
- NPI 1689952061
-
- Long Term Care Hospital
- Lincoln Park, MI
- NPI 1508027624
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Southfield, MI
- NPI 1992791511
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- Long Term Care Hospital
- Lincoln Park, MI
- NPI 1508027624
Long-term care hospital
-
- Long Term Care Hospital
- Detroit, MI
- NPI 1447617915
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316027865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23611 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "48180",
"telephone_number": "734-287-6110",
"fax_number": "734-287-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23611 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "48180",
"telephone_number": "734-287-6110",
"fax_number": "734-287-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKKA",
"first_name": "WATHEK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301068542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4341993",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.