Dina Fakhouri Bain, DO
Individual provider Active NPI Gastroenterology Physician · Clarkston, MI
NPI 1790274686 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1790274686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 5151013348 (MI)
- Practice address
- 5701 Bow Pointe Dr Ste 370
Clarkston, MI 48346-5403 - Phone
- (248) 625-4055
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Endoscopic Solutions PC
Practice addresses (Care Compare)
5701 Bow Pointe Dr
Suite 370
Clarkston, MI 48346-5403
Phone (248) 625-4055
Hospital & facility affiliations
- Trinity Health Oakland Hospital
- McLaren Oakland
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 48 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 47 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621002237 | MI | Practitioner - Gastroenterology | 8729470398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoscopic Solutions PC | Gastroenterology | Current |
Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Past | Accepting new patients |
Locations
5701 Bow Pointe Dr
Ste 370
Clarkston, MI 48346
Phone (248) 442-0800
834 S Lapeer Rd
Oxford, MI 48371
Phone (248) 236-9900
Interoperability endpoints
- dfakhouri490786@direct.hfhs.org
- dina.bain.1@8884.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5151013348 | MI | Yes |
Addresses
Primary practice location
5701 Bow Pointe Dr Ste 370
Clarkston, MI 48346-5403
Mailing address
5701 Bow Pointe Dr Ste 370
Clarkston, MI 48346-5403
Phone (248) 625-4055
Other practice location 1
834 S Lapeer Rd
Oxford, MI 48371-5039
Phone (248) 625-4055
Other providers in Clarkston, MI
- Christine Mase Babich
- Madeline Badgley
- Randall William Baetz
- Alexander Bageris
- Niiya Bailey
- Diane Baker
- Mallory Rose Baker
- Max Joseph Baker
- Michael J Baker
- Robert Ball III
All providers in Clarkston, MI · Gastroenterology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.