Active NPI
Abdallah Bashar Abdallah Samman
- Student in an Organized Health Care Education/Training Program
- Livonia, MI
National Provider Identifier
1801682422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 37595 Seven Mile Rd, Suite 340 Livonia, Mi 48152, Trini
Livonia, MI 48152 - Phone
- (734) 793-2470
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
37595 Seven Mile Rd, Suite 340 Livonia, Mi 48152, Trini
Livonia, MI 48152
Mailing address
21, Al-Hareth Ben Omeir St
Amman, JORDAN 11118
JO
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812002130 | MI | Order and Referring Only - Internal Medicine | 1254839947 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1801682422",
"addresses": [
{
"country_code": "JO",
"country_name": "Jordan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "21, AL-HARETH BEN OMEIR ST",
"city": "AMMAN",
"state": "JORDAN",
"postal_code": "11118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37595 SEVEN MILE RD, SUITE 340 LIVONIA, MI 48152, TRINI",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48152",
"telephone_number": "734-793-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMAN",
"first_name": "ABDALLAH",
"middle_name": "BASHAR ABDALLAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-18",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.