Sami Hassen Hammoud, DO
Individual provider Active NPI Emergency Medicine Physician · Wayne, MI
NPI 1962996801 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1962996801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 5101025174 (MI)
- Practice address
- 33155 Annapolis St
Wayne, MI 48184-2405 - Phone
- (734) 467-4000
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Emergency Care Services Inc
Ihp Mi Emergency Medicine PLLC
Practice addresses (Care Compare)
2600 Navarre Ave
Oregon, OH 43616-3207
Phone (419) 696-7411
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Garden City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220223000108 | MI | Practitioner - Emergency Medicine | 0143614834 | Reassigns benefits to 2 organizations |
| I20220701001385 | OH | Practitioner - Emergency Medicine | 0143614834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025174 | MI | MD | Emergency Medicine Physician |
| 34.015697 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Michigan, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Ihp Mi Emergency Medicine PLLC | Emergency Medicine | Current |
Accepting new patients |
| Mercy Emergency Care Services, Inc. | Emergency Medicine | Current |
Accepting new patients |
Locations
7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101025174 | MI | Yes |
| Emergency Medicine Physician | 207P00000X | 34.015697 | OH |
Addresses
Primary practice location
33155 Annapolis St
Wayne, MI 48184-2405
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1848
Other providers in Wayne, MI
- Daniel Halaberda
- Asia Amir Hall
- Alyson Elaine Halsted
- Mohamad Hamade
- Alyssa Adrianna Hammond
- Joyce Hands
- Kimberly Ann Harber
- Amber Jasmine Marie Harbert
- Michael Ray Hardy
- April Lynn Harman
All providers in Wayne, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.