NPIMap

Individual provider Active NPI

Mohammad Sabbagh, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1568860922
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301116902 Issued in MI
Practice address
22359 Cherry Hill St
Dearborn, MI 48124-1190
Phone
(313) 406-3030
Fax
(313) 406-3037
NPI assigned
Dec 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 4301116902 MI Primary

Addresses

Primary practice location

22359 Cherry Hill St
Dearborn, MI 48124-1190

Mailing address

22359 Cherry Hill St
Dearborn, MI 48124-1190
Phone (313) 406-3030

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
I20200810000569 MI Practitioner - General PracticePractitioner - Internal Medicine 4183926801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22359 Cherry Hill St
Dearborn, MI 48124-1190
Phone (313) 406-3030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301116902MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ghassan a Atto MD PLLC CurrentSince Dec 1, 2021 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Gastrofit PLLC PastSince Sep 5, 2023 Accepting new patients

Locations

14825 Southfield Rd
Allen Park, MI 48101
Phone (313) 383-7071

Interoperability endpoints

  • Direct secure messaging: msabbagh763643@direct.hfhs.org

Organizations & group practices 6

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 5

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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1568860922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22359 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241190",
            "telephone_number": "313-406-3030",
            "fax_number": "313-406-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22359 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241190",
            "telephone_number": "313-406-3030",
            "fax_number": "313-406-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301116902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.