Individual provider Active NPI

Samir R Yahia, M.D.

  • Rheumatology Physician
  • Shelby Township, MI
National Provider Identifier
1780731075
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301033689 Issued in MI
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000657 MI Practitioner - RheumatologyPractitioner - Internal Medicine 5698782035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
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

LicenseStateTypeSpecialty
4301033689MIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 27, 2020 Accepting new patients
Henry Ford Health St. John Hospital Multi-Specialty Current Accepting new patients
Henry Ford Health St. John Hospital Multi-Specialty CurrentSince Jul 27, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.