NPIMap

Individual provider Active NPI

Salam Brikho, M.D., M.S.

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1437612579
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301504712 Issued in MI
Practice address
22250 Providence Dr Ste 301
Southfield, MI 48075-6211
Phone
(248) 849-3281
NPI assigned
Apr 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
General Practice Physician 208D00000X 4301504712 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 301
Southfield, MI 48075-6211

Mailing address

22250 Providence Dr Ste 301
Southfield, MI 48075-6211
Phone (248) 849-3281

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
I20210914003632 MI Practitioner - Internal Medicine 2264766005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

400 N Wayne Rd
Michigan Family Physicians
Westland, MI 48185-3628
Phone (734) 522-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504712MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
American Current Care of Michigan PC Current Accepting new patients
American Current Care of Michigan PC CurrentSince Sep 20, 2021 Accepting new patients
Envision Medical Group PLLC Past Accepting new patients

Locations

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

12660 10 Mile Rd
Ste C
South Lyon, MI 48178
Phone (248) 270-8081

627 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 524-1912

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

400 N Wayne Rd
Westland, MI 48185
Phone (734) 522-7000

400 N Wayne Rd
Ste 500
Westland, MI 48185

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: salam.brikho.1@21803.direct.athenahealth.com

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1437612579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756211",
            "telephone_number": "248-849-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756211",
            "telephone_number": "248-849-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIKHO",
        "first_name": "SALAM",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-06",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301504712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.