Active NPI
Reem Khazaal Sobh, DO
- Family Medicine Physician
- Wayne, MI
National Provider Identifier
1336632785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151010971
- Practice address
- 33155 Annapolis St
Wayne, MI 48184-2405 - Phone
- (734) 467-4000
- NPI assigned
- Jun 11, 2018
- Last updated
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5151010971 | MI | Primary |
Addresses
Primary practice location
33155 Annapolis St
Wayne, MI 48184-2405
Mailing address
23362 Suncrest St
Dearborn Heights, MI 48127-2352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101024123 | Other | MI | BEAUMONT WAYNE |
Other names 1
- Dr. Reem Adnan Khazaal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.74 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151010971 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- rkhazaal388472@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1336632785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23362 SUNCREST ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33155 ANNAPOLIS ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842405",
"telephone_number": "734-467-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBH",
"first_name": "REEM",
"middle_name": "KHAZAAL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2024-01-09",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151010971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEAUMONT WAYNE",
"identifier": "5101024123",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REEM",
"last_name": "KHAZAAL",
"middle_name": "ADNAN",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.