Pioneer Endoscopy & Surgery Center, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PIONEER ENDOSCOPY & SURGERY CENTER, L.L.C.

Practice address

36401 Van Dyke Ave
Sterling Heights, MI 48312-2763

Phone

(586) 757-6400

Fax

(586) 757-8400

NPI assigned

Sep 6, 2018

Last updated

May 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ghaith M Ibrahim, MDNPI 1932113438

Title

Board Executive

Phone

(586) 215-7476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pioneer Medical Associates P.C.

  • Internal Medicine Physician
  • Clinton TWP, MI
  • NPI 1093296592

  O20180924001024

  Same enrollment

Listed as

Pioneer Endoscopy and Surgery Center LLCCCN 23C0001157

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 27

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.

• Ghaith M Ibrahim, MD

  • Gastroenterology Physician
  • Warren, MI
  • NPI 1932113438
  Medicare reassignment NPD Authorized official
• Jiab Suleiman, DO

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1174591028
  Medicare reassignment NPD
• Nafea Majed Zayouna, M.D

  • Gastroenterology Physician
  • Warren, MI
  • NPI 1285968446
  Medicare reassignment NPD
• Rajiv Agrawal, MD

  • Family Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1659392496
  NPD
• Rabei W Bdeir, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1619920634
  NPD
• Carla Benavides

  • Nurse Practitioner
  • Sterling Heights, MI
  • NPI 1891246088
  NPD
• Michelle Chau, FNP-BC

  • Family Nurse Practitioner
  • Warren, MI
  • NPI 1801413034
  NPD
• Sarih Dalati, MD

  • Neurology Physician
  • Eastpointe, MI
  • NPI 1982712287
  NPD
• Darwish O Darwish, MD

  • Internal Medicine Physician
  • Harper Woods, MI
  • NPI 1194713875
  NPD
• Pasqualina Dilegge, NP

  • Adult Health Nurse Practitioner
  • Clinton Township, MI
  • NPI 1700114683
  NPD
• Tara Elaine Fletcher, FNP

  • Family Nurse Practitioner
  • Lenox, MI
  • NPI 1902474778
  NPD
• Mohammad Ghaffarloo, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Clinton Township, MI
  • NPI 1275631764
  NPD

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1649752650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483110370",
            "telephone_number": "586-771-0270",
            "fax_number": "586-343-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36401 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122763",
            "telephone_number": "586-757-6400",
            "fax_number": "586-757-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER ENDOSCOPY & SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-05-30",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "GHAITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOARD EXECUTIVE",
        "authorized_official_telephone_number": "586-215-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Vein Care, PLLC
• Robert G.G. Piccinini, DO
• Alexandra Pietrzyk
• Justin Pilotto
• Colleen Pingston, PA
• Karen Pioszak
• Anna Piotrowski
• Isabel Josephine Pirrone, MA, LLP
• Angela Pitcock, CRNA
• Braden Plakas

• Ambulatory Surgical Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.