NPIMap

Individual provider Active NPI

Faris Hannoodi, M.D.

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1922482181
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301508263 Issued in MI
Practice address
2300 Haggerty Rd Ste 2150
West Bloomfield, MI 48323-2192
Phone
(248) 926-6610
Fax
(248) 926-6611
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301508263 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 2150
West Bloomfield, MI 48323-2192

Mailing address

2300 Haggerty Rd Ste 2150
West Bloomfield, MI 48323-2192
Phone (248) 926-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211020000942 PA Practitioner - HospitalistPractitioner - Internal Medicine 3577866706 Reassigns benefits to 1 organization
I20240515001628 MI Practitioner - Internal Medicine 3577866706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 2150
West Bloomfield, MI 48323-2192
Phone (248) 926-6610

Hospital & facility affiliations

  • Heart to Heart Hospice of Detroit, LLC Hospice, Bingham Farms, MI, CCN 231625
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
60.86 of 100Reported as group
Quality
78.24
Promoting interoperability
0
Improvement activities
40
Cost
74.63

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
75.58
Improvement activities
40
Cost
72.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Michigan Healthcare Professionals PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2300 Haggerty Rd
Ste 2150
West Bloomfield, MI 48323
Phone (248) 625-5550

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: eza6813@yourcarecommunity.org
  • Direct secure messaging: faris.hannoodi.p1@direct.cava.nextgenshare.com
  • Direct secure messaging: fhannoodi3404598@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1922482181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2150",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-926-6610",
            "fax_number": "248-926-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2150",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-926-6610",
            "fax_number": "248-926-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNOODI",
        "first_name": "FARIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301508263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.