Active NPI
Sami Abbasi DO PLLC
- Dermatology Physician
- Brownstown TWP, MI
National Provider Identifier
1497079230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SAMI ABBASI DO PLLC
- Practice address
- 23050 West Rd
Ste 240
Brownstown TWP, MI 48183-1472 - Phone
- (734) 675-0835
- Fax
- (734) 675-0873
- NPI assigned
- Mar 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sami A Abbasi, DO
- Title
- President
- Phone
- (734) 675-0835
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
23050 West Rd
Ste 240
Brownstown TWP, MI 48183-1472
Mailing address
23050 West Rd
Ste 240
Brownstown TWP, MI 48183-1472
Phone (734) 675-0835
Other names 1
- Downriver Dermatology Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101115000342 | MI | Part B Supplier - Clinic/Group Practice | 4688869712 |
Receives reassigned benefits from 7 practitioners Practice locations: Woodhaven, MI |
National Provider Directory
National Provider DirectoryLocations
21401 Allen Rd
Woodhaven, MI 48183
Phone (734) 675-0835
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- West Bloomfield, MI
- NPI 1982802245
Dermatology, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1497079230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23050 WEST RD",
"address_2": "STE 240",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481831472",
"telephone_number": "734-675-0835",
"fax_number": "734-675-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23050 WEST RD",
"address_2": "STE 240",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481831472",
"telephone_number": "734-675-0835",
"fax_number": "734-675-0873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMI ABBASI DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "ABBASI",
"authorized_official_first_name": "SAMI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-675-0835",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Downriver Dermatology Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brownstown TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.