Sameer Abdurrahman Huraibi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301085918 Issued in MI

Practice address

3456 W Vernor Hwy
Detroit, MI 48216-1551

Phone

(313) 254-9693

Fax

(734) 629-1567

NPI assigned

Dec 11, 2006

Last updated

Dec 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Specialty

Family Practice

Education

Saginaw Valley Medical College - NLG, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Buren Urgent Care Center PLLCGroup PAC ID 6204960685, 4 clinicians

Vernor Urgent Care PLLCGroup PAC ID 2466685649, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Van Buren Urgent Care Center PLLC

  • Family Medicine Physician
  • Van Buren TWP, MI
  • NPI 1538497250
  Medicare reassignment Care Compare group NPD Authorized official
• Vernor Urgent Care PLLC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1508205329
  Medicare reassignment Care Compare group NPD Authorized official
• Vernor Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1487085395
  NPD Authorized official
• Van Buren Urgent Care

  • Family Nurse Practitioner
  • Belleville, MI
  • NPI 1407391147
  NPD (past) Authorized official
• Van Buren Urgent Care Center PLLC

  • Urgent Care Clinic/Center
  • Van Buren TWP, MI
  • NPI 1801124516
  NPD (past) Authorized official
• Integrated Health Group, P.C.

  dba Michigan Institute of Pain Management

  • Pain Clinic/Center
  • Dearborn Heights, MI
  • NPI 1508808817
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1437219391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161551",
            "telephone_number": "313-254-9693",
            "fax_number": "734-629-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161551",
            "telephone_number": "313-254-9693",
            "fax_number": "734-629-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 BELLEVILLE RD",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "48111",
            "country_code": "US",
            "telephone_number": "734-699-9888",
            "fax_number": "734-293-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURAIBI",
        "first_name": "SAMEER",
        "middle_name": "ABDURRAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301085918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00862490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "4301085918",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TYPE 1 PIN # IND",
            "identifier": "509502572",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11881046",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS #",
            "identifier": "5315038149",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437219391",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND PIN #",
            "identifier": "MI3009001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TYPE 1 (IND) NPI #",
            "identifier": "1437219391",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ponce Lamir Hunter
• Sonja Hunter
• Stephanie A Hunter, RN LMSW
• Velda A. Hunter
• A.H.M. Mahbubul Huq, MD
• Zayna Raylon Hurd
• Kathey Corlene Hurey, LRRT
• Christine Hurley, MA, TLLP
• Ines Hurley
• Natashia Hurley, LMSW

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.

Verify at the official NPI Registry.