Active NPI
Samir Setouhi MD PC
- Specialist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301044804
- Legal business name
- SAMIR SETOUHI MD PC
- Practice address
- 7145 Appoline St
Neurology, Headache & Pain Management
Dearborn, MI 48126-1991 - Phone
- (313) 581-0003
- Fax
- (313) 581-3399
- NPI assigned
- Jan 25, 2008
- Last updated
- Jan 25, 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
- Dr. Samir Sotouhi, M.D., B.C.
- Title
- Owner
- Phone
- (313) 581-0003
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4301044804 | MI | Primary |
Addresses
Primary practice location
7145 Appoline St
Neurology, Headache & Pain Management
Dearborn, MI 48126-1991
Mailing address
7145 Appoline St
Neurology, Headache & Pain Management
Dearborn, MI 48126-1991
Phone (313) 581-0003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4880228 | Medicaid | MI | |
| 1308255022 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20225 Ann Arbor Trl
Ste 1
Dearborn Heights, MI 48127
Phone (313) 581-0003
20225 Ann Arbor Trl
Ste 100
Dearborn Heights, MI 48127
Phone (313) 581-0003
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurology Physician
- Dearborn Heights, MI
- NPI 1659305605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201219200000",
"number": "1760669303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 APPOLINE ST",
"address_2": "NEUROLOGY, HEADACHE & PAIN MANAGEMENT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261991",
"telephone_number": "313-581-0003",
"fax_number": "313-581-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 APPOLINE ST",
"address_2": "NEUROLOGY, HEADACHE & PAIN MANAGEMENT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261991",
"telephone_number": "313-581-0003",
"fax_number": "313-581-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMIR SETOUHI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A",
"authorized_official_last_name": "SOTOUHI",
"authorized_official_first_name": "SAMIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-581-0003",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., B.C."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301044804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4880228",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1308255022",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 25, 2008; 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.