Organization Active NPI

Gateway Medical Center PLLC

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1750999751
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GATEWAY MEDICAL CENTER PLLC
Practice address
22359 Cherry Hill St
Dearborn, MI 48124-1190
Phone
(313) 406-3030
Fax
(313) 406-3037
NPI assigned
Jul 16, 2020
Organization subpart
Yes
Parent organization
PRIMARY CARE OF MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Authorized official

Name
Mohammad Sabbagh, MDNPI 1568860922
Title
Owner
Phone
(313) 406-3030

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

Addresses

Primary practice location

22359 Cherry Hill St
Dearborn, MI 48124-1190

Mailing address

22359 Cherry Hill St
Dearborn, MI 48124-1190
Phone (313) 406-3030

Other names 1

  • Primary Care of Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200810000504 MI Part B Supplier - Clinic/Group Practice 7012332943 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, 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
23D2289936Primary Care of Michigan22359 Cherry Hill Street, Dearborn, MI 48124Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory
Part of
Gateway Medical Center PLLC

Locations

23500 Park St
Ste 2B
Dearborn, MI 48124
Phone (313) 406-3030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749340800000",
    "number": "1750999751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22359 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241190",
            "telephone_number": "313-406-3030",
            "fax_number": "313-406-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22359 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241190",
            "telephone_number": "313-406-3030",
            "fax_number": "313-406-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MEDICAL CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE OF MICHIGAN",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-406-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.