Organization Active NPI

J Amarrah Medical Care Systems

  • General Practice Physician
  • Farmington Hills, MI
National Provider Identifier
1750111381
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
J AMARRAH MEDICAL CARE SYSTEMS
Practice address
29226 Orchard Lake Rd
Ste 170
Farmington Hills, MI 48334-2984
Phone
(248) 562-7716
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Mr. Laurence G Salazar
Title
Ceo/President
Phone
(248) 562-7716

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

29226 Orchard Lake Rd
Ste 170
Farmington Hills, MI 48334-2984

Mailing address

29226 Orchard Lake Rd
Sste 170
Farmington Hills, MI 48334-2984
Phone (248) 562-7716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250128000797 MI Part B Supplier - Clinic/Group Practice 1759810336 Receives reassigned benefits from 4 practitioners
Practice locations: Farmington Hills, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2322045J Amarrah Medical Care Systems29226 Orchard Lake Road Suite 170, Farmington Hills, MI 48334Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1750111381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29226 ORCHARD LAKE RD",
            "address_2": "SSTE 170",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342984",
            "telephone_number": "248-562-7716",
            "fax_number": "248-562-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29226 ORCHARD LAKE RD",
            "address_2": "STE 170",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342984",
            "telephone_number": "248-562-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J AMARRAH MEDICAL CARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-562-7716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.