NPIMap

Organization Active NPI

Sabah Internal Medicine PLLC

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1770029621
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076780 Issued in MI
Legal business name
SABAH INTERNAL MEDICINE PLLC
Practice address
18263 E 10 Mile Rd
Ste # D
Roseville, MI 48066-5805
Phone
(586) 438-3535
Fax
(313) 879-5533
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Mohammed Sabah, M.D.
Title
President
Phone
(810) 877-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301076780 MI Primary

Addresses

Primary practice location

18263 E 10 Mile Rd
Ste # D
Roseville, MI 48066-5805

Mailing address

17633 White Pine CT
Northville, MI 48168-4358
Phone (586) 438-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206002659 MI Part B Supplier - Clinic/Group Practice 3274816814 Receives reassigned benefits from 4 practitioners
Practice locations: Detroit, MI; Grosse Pointe, MI; St Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

18245 E 10 Mile Rd
Ste 120
Roseville, MI 48066
Phone (586) 265-2680

23600 Harper Ave
Ste 103
St Clr Shores, MI 48080
Phone (586) 585-2570

Practitioners & affiliated clinicians

Practitioners 9

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": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1770029621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17633 WHITE PINE CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684358",
            "telephone_number": "586-438-3535",
            "fax_number": "313-879-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "STE # D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-438-3535",
            "fax_number": "313-879-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABAH INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "SABAH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-877-1555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.