Individual provider Active NPI

Ayoub Sayeg, MD

  • Plastic Surgery Physician
  • Dearborn, MI
National Provider Identifier
1780616359
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
AS072477 Issued in MI
Practice address
4700 Greenfield Rd
Dearborn, MI 48126-4124
Phone
(313) 945-6100
Fax
(313) 945-5260
NPI assigned
Jul 6, 2006
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X AS072477 MI Primary

Addresses

Primary practice location

4700 Greenfield Rd
Dearborn, MI 48126-4124

Mailing address

4700 Greenfield Rd
Dearborn, MI 48126-4124
Phone (313) 945-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000302 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 9234232935 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AS072477MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Enterprises, Inc. PastSince Jul 15, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
Union Foot Clinic, LLC PastSince Jul 1, 2021 Accepting new patients
Integrated Physician Solutions PC PastSince Jul 21, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: asayeg1150343@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1780616359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-945-6100",
            "fax_number": "313-945-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-945-6100",
            "fax_number": "313-945-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYEG",
        "first_name": "AYOUB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "AS072477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.