Organization Active NPI

Faleh Husseini MD

  • Specialist
  • Roseville, MI
National Provider Identifier
1629474002
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FALEH HUSSEINI MD
Doing business as
Faleh Husseini MD
Practice address
25650 Kelly Rd
Ste 10
Roseville, MI 48066-4904
Phone
(313) 530-4678
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Faleh Husseini, MDNPI 1295827251
Title
Owner
Phone
(313) 530-4678

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)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

25650 Kelly Rd
Ste 10
Roseville, MI 48066-4904

Mailing address

25650 Kelly Rd
Ste 10
Roseville, MI 48066-4904
Phone (313) 530-4678

Other identifiers 2

IdentifierTypeStateIssuer
4301034270OtherMISTATE LICENCE
1092722MedicaidMI

Other names 1

  • FALEH HUSSEINI MD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0370845Faleh Al Husseini MD25650 Kelly Road, Suite 10, Roseville, MI 48066Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

25650 Kelly Rd
Ste 10
Roseville, MI 48066
Phone (313) 530-4678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1629474002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25650 KELLY RD",
            "address_2": "STE 10",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664904",
            "telephone_number": "313-530-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 KELLY RD",
            "address_2": "STE 10",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664904",
            "telephone_number": "313-530-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALEH HUSSEINI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "HUSSEINI",
        "authorized_official_first_name": "FALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-530-4678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "4301034270",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALEH HUSSEINI MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.