NPIMap

Individual provider Active NPI

Samuel Yashinsky, D.O.

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1447637681
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101021592 Issued in MI
Practice address
30055 Northwestern Hwy Ste 150
Farmington Hills, MI 48334-3211
Phone
(248) 865-4150
Fax
(248) 865-4151
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101021592 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 150
Farmington Hills, MI 48334-3211

Mailing address

30055 Northwestern Hwy Ste 150
Farmington Hills, MI 48334-3211
Phone (248) 865-4150

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
I20180507001760 MI Practitioner - Internal Medicine 2062707664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

30055 Northwestern Hwy
Suite 150
Farmington Hills, MI 48334-3211
Phone (248) 865-4150

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Jul 1, 2018 Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

30055 Northwestern Hwy
Ste 160
Farmington Hills, MI 48334
Phone (248) 865-4150

30055 Northwestern Hwy
Ste 150
Farmington Hills, MI 48334
Phone (248) 865-4150

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: syashinsky448384@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1447637681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4150",
            "fax_number": "248-865-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4150",
            "fax_number": "248-865-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASHINSKY",
        "first_name": "SAMUEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101021592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.