Individual provider Active NPI

Tiffany Michelle Sakhleh, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1952379984
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004668 Issued in MI
Practice address
10140 Vernor Hwy
Dearborn, MI 48120-1515
Phone
(313) 438-6059
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004668 MI Primary

Addresses

Primary practice location

10140 Vernor Hwy
Dearborn, MI 48120-1515

Mailing address

10140 Vernor Hwy
Dearborn, MI 48120-1515
Phone (313) 438-6059

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000358 MI Practitioner - Physician Assistant 5496762387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waterford Urgent Care PC Current Accepting new patients
Za Medical Associates PLLC PastSince Nov 15, 2020 Accepting new patients
First Choice Urgent Care PC Past Accepting new patients

Locations

5800 Highland Rd
Waterford, MI 48327
Phone (248) 290-5700

Interoperability endpoints

  • Direct secure messaging: tiffany.sakhleh.1@22301.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1952379984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 VERNOR HWY",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201515",
            "telephone_number": "313-438-6059",
            "fax_number": "313-481-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 VERNOR HWY",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201515",
            "telephone_number": "313-438-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKHLEH",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.