NPIMap

Individual provider Active NPI

Samir S Al-Hadidi, MD

  • Gastroenterology Physician
  • Rochester Hills, MI
National Provider Identifier
1407960453
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
SA045286 Issued in MI
Practice address
1349 S Rochester Rd Ste 210
Rochester Hills, MI 48307-3152
Phone
(248) 844-2600
Fax
(248) 844-0991
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X SA045286 MI Primary

Addresses

Primary practice location

1349 S Rochester Rd Ste 210
Rochester Hills, MI 48307-3152

Mailing address

PO Box 71066
Rochester Hills, MI 48307-0020
Phone (248) 844-2600

Other identifiers 1

IdentifierTypeStateIssuer
0635109OtherBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000247 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 0840238978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samir Al-Hadidi MD PC 4 clinicians

Practice addresses (Care Compare)

1349 S Rochester Rd
Suite 210
Rochester Hills, MI 48307-3152
Phone (248) 844-2600

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy170
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA045286MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Digestive Disease Group PC Gastroenterology CurrentSince Feb 28, 2014 Accepting new patients
Rochester Endoscopy & Surgery Center, L.L.C. PastSince Nov 22, 2004 Accepting new patients
Rochester Gastroenterology PLLC Gastroenterology PastSince Apr 30, 2021 Accepting new patients
Metropolitan Digestive Disease Group PC Past Accepting new patients
Samir Alhadidi MC PC Past Accepting new patients
Rochester Medical Associates, PLLC PastSince Jun 14, 2023 Accepting new patients

Locations

75 Barclay Cir
Ste 205
Rochester Hills, MI 48307
Phone (248) 651-6430

1349 S Rochester Rd
Ste 210
Rochester Hills, MI 48307
Phone (248) 844-2600

Interoperability endpoints

  • Direct secure messaging: salhadidi1159474@direct.hfhs.org
  • Direct secure messaging: drsamiral-hadidi@rochgispecialists.medentdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1407960453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71066",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483070020",
            "telephone_number": "248-844-2600",
            "fax_number": "248-844-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-844-2600",
            "fax_number": "248-844-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HADIDI",
        "first_name": "SAMIR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "SA045286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0635109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.