Individual provider Active NPI

Sara Laith Sara, M.D.

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1962814160
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FS6775982 Issued in OH
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

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003002710 MI Practitioner - Internal Medicine 5890088496 Reassigns benefits to 2 organizations

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
Detroit Community Health Connection IncGroup PAC ID 9234021148, 16 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

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

OrganizationSpecialtyStatusNew patients
Detroit Community Health Connection, Inc CurrentSince Sep 23, 2019 Accepting new patients
Sciometrix Inc CurrentSince Jan 25, 2026 Accepting new patients
Sciometrix LLC CurrentSince Jan 25, 2026 Accepting new patients
Detroit Community Health Connection, Inc. CurrentSince Sep 23, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.