Individual provider Active NPI

Daoud Abbas Faraj, M.D.

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1649213463
Registry record updated Oct 24, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jun 18, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in MI
Practice address
13530 Michigan Ave Ste 300
Dearborn, MI 48126-3555
Phone
(313) 908-9004
Fax
(313) 908-7873
NPI assigned
Jun 13, 2006
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 207Q00000X MI Primary

Addresses

Primary practice location

13530 Michigan Ave Ste 300
Dearborn, MI 48126-3555

Mailing address

13530 Michigan Ave Ste 300
Dearborn, MI 48126-3555
Phone (313) 908-9004

Other identifiers 1

IdentifierTypeStateIssuer
10 4706145 0MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207Q00000XMIMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Daoud Faraj PC Current Accepting new patients

Locations

13530 Michigan Ave
Ste 300
Dearborn, MI 48126
Phone (313) 908-0004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1649213463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263555",
            "telephone_number": "313-908-9004",
            "fax_number": "313-908-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263555",
            "telephone_number": "313-908-9004",
            "fax_number": "313-908-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAJ",
        "first_name": "DAOUD",
        "middle_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10 4706145 0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.