NPIMap

Individual provider Active NPI

Ghanem Sharabi, MD

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1508874504
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060011 Issued in MI
Practice address
27560 Hoover Rd
Warren, MI 48093-4505
Phone
(586) 757-6400
Fax
(586) 757-8400
NPI assigned
Aug 4, 2006
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060011 MI Primary
Pediatrics Physician 208000000X 4301060011 MI

Addresses

Primary practice location

27560 Hoover Rd
Warren, MI 48093-4505

Mailing address

27560 Hoover Rd
Warren, MI 48093-4505
Phone (586) 757-6400

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
I20040128000225 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1254234370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Medical Associates PCGroup PAC ID 2860743309, 23 clinicians

Practice addresses (Care Compare)

27560 Hoover Rd
Warren, MI 48093-4505
Phone (586) 573-5890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.59 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
68.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060011MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Associates P.C. Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Pioneer Endoscopy & Surgery Center, L.L.C. CurrentSince Sep 1, 2018 Accepting new patients
Lakeside Manor Nursing & Rehabilitation Center LLC Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Sterling Heights Opco LLC Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Van Dyke Partners LLC Past Accepting new patients
Warren Mi Opco LLC Past Accepting new patients
Romeo Urgent Care, PC Internal Medicine Past Accepting new patients

Locations

15945 19 Mile Rd
Ste 206
Clinton Township, MI 48038
Phone (586) 228-6603

15945 19 Mile Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-0464

19959 Vernier Rd
Ste 200
Harper Woods, MI 48225
Phone (313) 245-1400

29111 Harper Ave
St Clr Shores, MI 48081
Phone (586) 771-2097

11900 E 12 Mile Rd
Ste 100
Warren, MI 48093
Phone (586) 573-5890

27540 Hoover Rd
Warren, MI 48093
Phone (586) 754-3160

27560 Hoover Rd
Warren, MI 48093
Phone (586) 573-5890

Interoperability endpoints

  • Direct secure messaging: gsharabi681039@direct.hfhs.org

Organizations & group practices 9

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1508874504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27560 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934505",
            "telephone_number": "586-757-6400",
            "fax_number": "586-757-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27560 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934505",
            "telephone_number": "586-757-6400",
            "fax_number": "586-757-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARABI",
        "first_name": "GHANEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060011",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301060011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.