Active NPI
Sara Laith Sara, M.D.
- Internal Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- FS6775982
- Practice address
- 615 Division St
Toledo, OH 43604 - Phone
- (419) 255-7883
- NPI assigned
- May 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301105095 | MI | |
| Internal Medicine Physician | 207R00000X | FS6775982 | OH | Primary |
Addresses
Primary practice location
615 Division St
Toledo, OH 43604
Mailing address
313 Jefferson Ave
Toledo, OH 43604
Phone (419) 720-7883
Other practice location 1
22101 Moross Rd
Professional Building 2 Suite 50
Detroit, MI 48236-2148
Phone (313) 343-7784
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W 7 Mile Rd
Detroit, MI 48203-1968
Phone (313) 369-2600
13901 E Jefferson Ave
Detroit, MI 48215-2720
Phone (313) 822-0900
306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Community Health Connection, Inc | Current | Accepting new patients | |
| Sciometrix Inc | Current | Accepting new patients | |
| Sciometrix LLC | Current | Accepting new patients | |
| Detroit Community Health Connection, Inc. | Current | Accepting new patients |
Locations
111 W 7 Mile Rd
Detroit, MI 48203
Phone (313) 368-2600
13901 E Jefferson Ave
Detroit, MI 48215
Phone (313) 821-2591
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
Interoperability endpoints
- sara.sara@dchc.directbygreenway.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.
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1982611562
-
- General Practice Physician
- Royal Oak, MI
- NPI 1619649894
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1588137376
-
- General Practice Physician
- Staten Island, NY
- NPI 1457065591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1962814160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 JEFFERSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43604",
"telephone_number": "419-720-7883",
"fax_number": "419-720-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 DIVISION ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43604",
"telephone_number": "419-255-7883"
}
],
"practiceLocations": [
{
"address_1": "22101 Moross Rd",
"address_2": "Professional Building 2 Suite 50",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362148",
"country_code": "US",
"telephone_number": "313-343-7784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARA",
"first_name": "SARA",
"middle_name": "LAITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301105095",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "FS6775982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.