West Dearborn Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WEST DEARBORN PRIMARY CARE

Practice address

2421 Monroe St Ste 103
Dearborn, MI 48124-3043

Phone

(313) 447-0888

Fax

(313) 458-4004

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Soha Alfares, MDNPI 1922339977

Title

MD/Partner

Phone

(313) 447-0888

Specialties & licenses 1

Addresses

Other names 1

• West Dearborn Primary Care Physicians Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

West Dearborn Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Dearborn Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1124788666
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soha Alfares, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1922339977
  Medicare reassignment Care Compare group NPD Authorized official
• Ghattas Alkhoury, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1215347000
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1427787241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST STE 103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-447-0888",
            "fax_number": "313-458-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST STE 103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-447-0888",
            "fax_number": "313-458-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DEARBORN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "ALFARES",
        "authorized_official_first_name": "SOHA",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "313-447-0888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soha.alfares@wdearbornuc.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "West Dearborn Urgent Care PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "soha.alfares@wdearbornuc.com",
            "address_1": "2421 Monroe St Ste 103",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481243043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West Dearborn Primary Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Dearborn Primary Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffani Nicole Welzin, PHLEBOTOMIST/MA
• Connie Wendecker
• Lauren Werner, M.A. CCC-SLP
• Steven W Werns, M.D.
• Mark Wesley, ACNPC-AG
• West Dearborn Urgent Care PLLC
• West Meds Pharmacy Inc.
• West Village Dental PLLC
• Dai' Shon West
• Westborn Medical Clinic

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.