Organization Active NPI

Appoline Medical Clinic PC

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1841478070
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SS072978 Issued in MI
Legal business name
APPOLINE MEDICAL CLINIC PC
Practice address
8740 W Warren Ave
Dearborn, MI 48126-4043
Phone
(313) 491-4999
Fax
(313) 491-4939
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Dr. Sameer T SawalhaNPI 1730152216
Title
Doctor
Phone
(313) 491-4999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X SS072978 MI Primary

Addresses

Primary practice location

8740 W Warren Ave
Dearborn, MI 48126-4043

Mailing address

8740 W Warren Ave
Dearborn, MI 48126-4043
Phone (313) 491-4999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060106000403 MI Part B Supplier - Clinic/Group Practice 7315960275 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0986838Appoline Medical Clinic8740 W Warren, Dearborn, MI 48126Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

8740 W Warren Ave
Dearborn, MI 48126
Phone (313) 491-4999

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1841478070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264043",
            "telephone_number": "313-491-4999",
            "fax_number": "313-491-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264043",
            "telephone_number": "313-491-4999",
            "fax_number": "313-491-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPOLINE MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "SAWALHA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-491-4999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SS072978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.