NPIMap

Individual provider Active NPI

Hassan N Dakroub, M.D.

  • Infectious Disease Physician
  • Dearborn, MI
National Provider Identifier
1528099397
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301087179 Issued in MI
Practice address
3735 Monroe St Ste a
Dearborn, MI 48124-3787
Phone
(313) 914-3370
Fax
(313) 908-9128
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 4301087179 MI
Infectious Disease Physician 207RI0200X 4301087179 MI Primary

Addresses

Primary practice location

3735 Monroe St Ste a
Dearborn, MI 48124-3787

Mailing address

3735 Monroe St
Ste a
Dearborn, MI 48124-3787
Phone (313) 914-3370

Other practice location 1

4825 E McNichols Rd
Detroit, MI 48212-1700
Phone (313) 891-2637

Other practice location 2

6450 Maple St
Dearborn, MI 48126-2259
Phone (313) 216-2230

Other identifiers 1

IdentifierTypeStateIssuer
4301087179OtherMISTATE LICENSE NUMBER

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
I20070123000358 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 4981605649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access IpaGroup PAC ID 4486736220, 5 clinicians

Practice addresses (Care Compare)

3735 Monroe St
Suite a
Dearborn, MI 48124-3787
Phone (313) 914-3370

6450 Maple St
Dearborn, MI 48126-2259
Phone (313) 216-2200

Hospital & facility affiliations

  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hassan Dakroub MD PLLC CurrentSince Dec 1, 2012 Accepting new patients
Elite Home Physicians PLLC PastSince Apr 30, 2003 Accepting new patients
Arab Community Center for Economic and Social Services Access PastSince Jan 4, 2021 Accepting new patients

Locations

3735 Monroe St
Ste A
Dearborn, MI 48124
Phone (313) 277-6560

Interoperability endpoints

  • Direct secure messaging: hassandakroub@accessmedicalcenter.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1528099397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 MONROE ST",
            "address_2": "STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243787",
            "telephone_number": "313-914-3370",
            "fax_number": "313-908-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 MONROE ST STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243787",
            "telephone_number": "313-914-3370",
            "fax_number": "313-908-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4825 E McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482121700",
            "country_code": "US",
            "telephone_number": "313-891-2637",
            "fax_number": "313-891-2826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 Maple St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262259",
            "country_code": "US",
            "telephone_number": "313-216-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAKROUB",
        "first_name": "HASSAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087179",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301087179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4301087179",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.