Active NPI
Faisal M Almufarrej, MD
- Plastic and Reconstructive Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 4301104077
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 745-0247
- Fax
- (313) 993-8783
- NPI assigned
- Dec 26, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301104077 | MI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 105092 | MN | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 53259 | MN | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 4301104077 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (248) 581-5974
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104077 | MI | MD | Plastic and Reconstructive Surgery Physician |
| 105092 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Berkowitz MD PC | Plastic Surgery | Current | Accepting new patients |
| University Physician Group | Current | Accepting new patients | |
| Vision Institute of Michigan PC | Current | Accepting new patients |
Locations
4201 Saint Antoine St
#5A
Detroit, MI 48201
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
44650 Delco Blvd
Ste 100
Sterling Hts, MI 48313
Phone (586) 685-2143
44650 Delco Blvd
Sterling Hts, MI 48313
Phone (586) 254-1770
1560 E Maple Rd
Ste 400
Troy, MI 48083
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- falmufar@direct.dmc.org
Organizations & group practices 3
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.
-
- Plastic Surgery Physician
- Sterling Heights, MI
- NPI 1740074640
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Ophthalmology Physician
- Sterling HTS, MI
- NPI 1396818373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1437395308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "248-581-5974",
"fax_number": "248-581-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-0247",
"fax_number": "313-993-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMUFARREJ",
"first_name": "FAISAL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-26",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "4301104077",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MN",
"license": "105092",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MN",
"license": "53259",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "4301104077",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.