NPIMap

Individual provider Active NPI

Samar Elachkar, MD

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1902946841
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076272 Issued in MI
Practice address
29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone
(734) 523-2420
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 4301076272 MI Primary

Addresses

Primary practice location

29200 Schoolcraft Rd
Livonia, MI 48150-2228

Mailing address

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 252-3424

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address selachkar606389@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000090 MI Practitioner - Internal Medicine 7416057930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 523-1050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076272MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Rochester Diagnostic and Specialty Center Internal Medicine CurrentSince Jul 17, 2007 Accepting new patients
Rochester Diagnostic and Specialty Center CurrentSince Jul 17, 2007 Accepting new patients
Henry Ford Health System CurrentSince Jun 1, 2019 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

29200 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 523-1050

543 N Main St
Rochester, MI 48307
Phone (248) 656-3100

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

Interoperability endpoints

  • Direct secure messaging: selachkar606389@direct.hfhs.org
  • Direct secure messaging: el-achkar.samar.004.0220012@rdsc.meditab.direct-ci.com

Organizations & group practices 7

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 4

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1902946841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29200 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502228",
            "telephone_number": "734-252-3424",
            "fax_number": "248-650-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29200 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502228",
            "telephone_number": "734-523-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELACHKAR",
        "first_name": "SAMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "selachkar606389@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.