NPIMap

Organization Active NPI

Mercy Hospitalists, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield Hills, MI
National Provider Identifier
1790340958
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MERCY HOSPITALISTS, PLLC
Practice address
10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466
Phone
(248) 283-4000
Fax
(248) 283-4444
NPI assigned
May 3, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Fadi Salloum, MDNPI 1205874831
Title
Co Owner
Phone
(248) 930-8903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466

Mailing address

10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466
Phone (248) 283-4000

Other practice location 1

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001000147 MI Part B Supplier - Clinic/Group Practice 8921338237 Receives reassigned benefits from 48 practitioners
Practice locations: Bloomfield Hills, MI; Pontiac, MI

National Provider Directory

National Provider Directory

Locations

10 W Square Lake Rd
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 283-4000

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1790340958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-283-4000",
            "fax_number": "248-283-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-283-4000",
            "fax_number": "248-283-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44405 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483415023",
            "country_code": "US",
            "telephone_number": "248-858-3000",
            "fax_number": "248-338-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HOSPITALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "248-930-8903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.