Active NPI
Samir Al-Hadidi MD PC
- Gastroenterology Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- SA045286
- Legal business name
- SAMIR AL-HADIDI MD PC
- Practice address
- 1349 S Rochester Rd
Suite 210
Rochester Hills, MI 48307-5821 - Phone
- (248) 844-0991
- Fax
- (248) 844-0991
- NPI assigned
- Jun 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samir S Al-Hadidi, MD
- Title
- Medical Doctor
- Phone
- (248) 844-2600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | SA045286 | MI | Primary |
Addresses
Primary practice location
1349 S Rochester Rd
Suite 210
Rochester Hills, MI 48307-5821
Mailing address
PO Box 71066
Rochester, MI 48307-5821
Phone (248) 844-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Barclay Histopathology Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Rochester Hills, MI
- NPI 1932426400
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1349 S Rochester Rd
Ste 200
Rochester Hills, MI 48307
27560 Hoover Rd
Warren, MI 48093
Phone (586) 573-5890
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Rochester Hills, MI
- NPI 1407960453
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1134167208
-
- Anatomic Pathology Physician
- Detroit, MI
- NPI 1033156633
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1831455138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576022400000",
"number": "1720249782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71066",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483075821",
"telephone_number": "248-844-2600",
"fax_number": "248-844-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 S ROCHESTER RD",
"address_2": "SUITE 210",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075821",
"telephone_number": "248-844-0991",
"fax_number": "248-844-0991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMIR AL-HADIDI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-23",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "AL-HADIDI",
"authorized_official_first_name": "SAMIR",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "248-844-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "SA045286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.