Saint Joseph Mercy Livingston Hospital

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

SAINT JOSEPH MERCY LIVINGSTON HOSPITAL

Practice address

7555 Grand River Rd
Brighton, MI 48114-9338

Phone

(810) 854-8000

NPI assigned

Mar 29, 2007

Last updated

May 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SAINT JOSEPH MERCY LIVINGSTON HOSPITALAs reported in NPPES

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

Authorized official

Name

Ariana Grace Raymond

Title

Manager Provider Enrollment

Phone

(734) 343-1466

Specialties & licenses 9

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Saint Joseph Mercy Livingston Hospital

  • Emergency Medicine Physician
  • Brighton, MI
  • NPI 1285753236

  O20040226000828

  Same enrollment
• Saint Joseph Mercy Livingston Hospital

  • Physician Assistant
  • Brighton, MI
  • NPI 1497874531

  O20040226000828

  Same enrollment

Part of

McPherson Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trinity Health - Michigan

  dba Trinity Health Pharmacy - Reichert Center

  • Community/Retail Pharmacy
  • Ypsilanti, MI
  • NPI 1588736375

  Member Of

  NPD member

Practitioners 5

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.

• Binh Dinh, M.D.

  • Psychiatry Physician
  • Brighton, MI
  • NPI 1114138633
  NPD
• Stephanie L. Hillebrand, PSYD, L.P.

  • Clinical Psychologist
  • Howell, MI
  • NPI 1902064751
  NPD
• Rima Fazal Makhiawala, MD

  • Obstetrics & Gynecology Physician
  • Brighton, MI
  • NPI 1871794487
  NPD
• Wael Shamseddeen, M.D.

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1346479086
  NPD
• Lisa Renee Sullivan, PA-C

  • Medical Physician Assistant
  • Belleville, MI
  • NPI 1811205750
  NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1730208778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "PO BOX 993, MC 69504",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149338",
            "telephone_number": "810-854-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH MERCY LIVINGSTON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH MERCY LIVINGSTON HOSPITAL",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "734-343-1466"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS BCN PATHOLOGY",
            "identifier": "220D748270",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD Emdr",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saint Joseph Mercy Livingston Hospital
• Saint Joseph Mercy Livingston Hospital
• Saint Joseph Mercy Livingston Hospital
• Saint Joseph Mercy Livingston Hospital
• Saint Joseph Mercy Livingston Hospital
• Saint Joseph Mercy Livingston Hospital
• Saint Joseph Mercy Livingston Hospital
• Aalia Basheera Samara
• Basheer Kenneth Samara
• Justin Samona, OTR/L

• Clinical Pathology/Laboratory Medicine Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.

Verify at the official NPI Registry.