Organization Active NPI

Laith Nafil MD PLLC

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1750038444
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAITH NAFIL MD PLLC
Practice address
31200 Dequindre Rd
Warren, MI 48092-1344
Phone
(586) 939-1800
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Laith Nafil
Title
Owner
Phone
(586) 939-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

31200 Dequindre Rd
Warren, MI 48092-1344

Mailing address

31200 Dequindre Rd
Warren, MI 48092-1344
Phone (586) 939-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220413002355 MI Part B Supplier - Clinic/Group Practice 8123414497 Receives reassigned benefits from 3 practitioners
Practice locations: Sterling Heights, MI; Warren, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1750038444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31200 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921344",
            "telephone_number": "586-939-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31200 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921344",
            "telephone_number": "586-939-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAITH NAFIL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "NAFIL",
        "authorized_official_first_name": "LAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-939-1800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.