Individual provider Active NPI

Soha Alfares, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1922339977
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
430194675 Issued in MI
Practice address
2421 Monroe St Ste 102
Dearborn, MI 48124-3043
Phone
(313) 447-0888
Fax
(313) 458-4004
NPI assigned
Jan 14, 2010
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 430194675 MI Primary

Addresses

Primary practice location

2421 Monroe St Ste 102
Dearborn, MI 48124-3043

Mailing address

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

Other practice location 1

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address salfares197288@direct.hfhs.org
Direct Messaging Address soha.alfares@wdearbornuc.com Direct West Dearborn Urgent Care PLLC

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
I20130829000829 MI Practitioner - Internal Medicine 4486897097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
West Dearborn Urgent Care PLLCGroup PAC ID 8729470281, 3 clinicians
West Dearborn Primary CareGroup PAC ID 1456710839, 2 clinicians

Practice addresses (Care Compare)

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

2421 Monroe St
Suite 102
Dearborn, MI 48124-3043
Phone (313) 447-0888

2799 W Grand Blvd
Detroit, MI 48202-2608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430194675MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Dearborn Urgent Care PLLC Internal Medicine CurrentSince Jan 5, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
West Dearborn Primary Care Internal Medicine CurrentSince Jan 6, 2023 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2013 Accepting new patients
Blue Lakes Chiropractic, PA PastSince Jan 5, 2022 Accepting new patients

Locations

2421 Monroe St
Ste 102
Dearborn, MI 48124
Phone (313) 447-0888

2421 Monroe St
Ste 103
Dearborn, MI 48124
Phone (313) 228-5616

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

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

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

Interoperability endpoints

  • Direct secure messaging: salfares197288@direct.hfhs.org

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1922339977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 HALL RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131229",
            "telephone_number": "586-247-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST STE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-447-0888",
            "fax_number": "313-458-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14500 Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483131229",
            "country_code": "US",
            "telephone_number": "586-247-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFARES",
        "first_name": "SOHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "430194675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salfares197288@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "14500 Hall Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483131229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soha.alfares@wdearbornuc.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "West Dearborn Urgent Care PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "2421 Monroe St Ste 102",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481243043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.