Individual provider Active NPI

Thikra Hamid Al Hassani, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1801934369
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074565 Issued in MI
Practice address
6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone
(313) 846-1700
Fax
(313) 846-2717
NPI assigned
Feb 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301074565 MI Primary

Addresses

Primary practice location

6840 Greenfield Rd
Dearborn, MI 48126-1702

Mailing address

15746 Spyglass Dr
Northville, MI 48168-8484
Phone (248) 380-8402

Other practice location 1

10066 Dix
Dearborn, MI 48120-1551
Phone (313) 849-4949

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
I20040323001366 MI Practitioner - Internal Medicine 1254222706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M Sarsam MD PLLCGroup PAC ID 9537572904, 3 clinicians

Practice addresses (Care Compare)

6840 Greenfield Rd
Dearborn, MI 48126-1702
Phone (313) 846-1700

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
M Sarsam MD PLLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

6840 Greenfield Rd
Dearborn, MI 48126
Phone (313) 846-1700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1801934369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15746 SPYGLASS DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688484",
            "telephone_number": "248-380-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261702",
            "telephone_number": "313-846-1700",
            "fax_number": "313-846-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10066 Dix",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201551",
            "country_code": "US",
            "telephone_number": "313-849-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL HASSANI",
        "first_name": "THIKRA",
        "middle_name": "HAMID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.