Active NPI
Samir R Yahia, M.D.
- Rheumatology Physician
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301033689
- Practice address
- 50505 Schoenherr Rd Ste 175
Shelby Township, MI 48315 - Phone
- (586) 630-5421
- Fax
- (586) 488-1934
- NPI assigned
- Jan 5, 2007
- Last updated
- Dec 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301033689 | MI | Primary |
Addresses
Primary practice location
50505 Schoenherr Rd Ste 175
Shelby Township, MI 48315
Mailing address
133 S Main St
Mount Clemens, MI 48043-2308
Phone (586) 329-1880
Other practice location 1
22151 Moross Rd Ste 335
Detroit, MI 48236-2196
Phone (313) 343-0304
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19229 Mack Ave
Suite 24
Grosse Pointe Woods, MI 48236-2857
Phone (313) 884-5522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301033689 | MI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Multi-Specialty | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Multi-Specialty | Current | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
22151 Moross Rd
Ste 335
Detroit, MI 48236
Phone (313) 343-0304
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
22151 Moross Rd
Ste 214
Grosse Pointe, MI 48236
Phone (313) 343-4867
22201 Moross Rd
Ste 150
Grosse Pointe, MI 48236
Phone (313) 343-7110
19229 Mack Ave
Ste 24
Grosse Pointe Woods, MI 48236
Phone (313) 884-5522
22151 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-4867
Interoperability endpoints
- syahia19520@direct.hfhs.org
Organizations & group practices 3
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.
-
dba St John North Shores Hospital
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
Multi-Specialty
-
dba Henry Ford St John Hospital
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
Multi-Specialty
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1780731075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 S MAIN ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432308",
"telephone_number": "586-329-1880",
"fax_number": "586-231-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50505 SCHOENHERR RD STE 175",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "48315",
"telephone_number": "586-630-5421",
"fax_number": "586-488-1934"
}
],
"practiceLocations": [
{
"address_1": "22151 Moross Rd Ste 335",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362196",
"country_code": "US",
"telephone_number": "313-343-0304",
"fax_number": "313-343-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAHIA",
"first_name": "SAMIR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301033689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
- Wow Home Care Aid Inc.
- Wright Way Industries, Inc. (Wright Way Environmental Technologies)
- Samantha Jo Dadoush Wright, PT, DPT
- WSSH Powerback Rehabilitation Services, LLC
- Fabiola Xhamxhi
- Jenny Yang, DO
- Lina Yaseen, D.D.S
- Mahmood Adnan Yaseen, MD
- Dennis M. Yee, D.O.
- Tamara Dawn Yoas, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.