NPIMap

Individual provider Active NPI

Muther Dawood Yaqoub Sarsam, M.D.

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1578867404
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099626 Issued in MI
Practice address
6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone
(313) 846-1700
Fax
(313) 846-2717
NPI assigned
Jan 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301099626 MI Primary

Addresses

Primary practice location

6840 Greenfield Rd
Dearborn, MI 48126-1702

Mailing address

6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone (313) 846-1700

Other practice location 1

3000 Arlington Ave
Graduate Medical Education, MS 1050
Toledo, OH 43614-2595
Phone (419) 893-5959

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
I20140312001851 MI Practitioner - Family Practice 7416196514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M Sarsam MD PLLCGroup PAC ID 9537572904, 3 clinicians

Practice addresses (Care Compare)

6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone (313) 846-1700

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SJMH Medical Practice-SMHC CurrentSince Feb 3, 2014 Accepting new patients
M Sarsam MD PLLC CurrentSince Dec 2, 2020 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Feb 3, 2014 Accepting new patients

Locations

6840 Greenfield Rd
Dearborn, MI 48126
Phone (313) 846-1700

44405 Woodward Ave
Ste H
Pontiac, MI 48341

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

Interoperability endpoints

  • Direct secure messaging: syaqoub935672@direct.hfhs.org

Organizations & group practices 3

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 6

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": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1578867404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261702",
            "telephone_number": "313-846-1700",
            "fax_number": "313-846-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261702",
            "telephone_number": "313-846-1700",
            "fax_number": "313-846-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_2": "Graduate Medical Education, MS 1050",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-893-5959",
            "fax_number": "419-893-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAQOUB SARSAM",
        "first_name": "MUTHER",
        "middle_name": "DAWOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.