NPIMap

Individual provider Active NPI

Munzer Samad, M.D.

  • Family Medicine Physician
  • Lathrup Village, MI
National Provider Identifier
1972581908
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301061568 Issued in MI
Practice address
26411 Southfield Rd
Lathrup Village, MI 48076-4528
Phone
(248) 552-8195
Fax
(248) 552-8537
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 4301061568 MI
Family Medicine Physician 207Q00000X 4301061568 MI Primary

Addresses

Primary practice location

26411 Southfield Rd
Lathrup Village, MI 48076-4528

Mailing address

26411 Southfield Rd
Lathrup Village, MI 48076-4528
Phone (248) 552-8195

Other identifiers 2

IdentifierTypeStateIssuer
104617911MedicaidMI
MS061568OtherMIBLUE CROSS LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001478 MI Practitioner - Family Practice 9739168006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muksi, LLCGroup PAC ID 3072692946, 2 clinicians

Practice addresses (Care Compare)

26411 Southfield Rd
Lathrup Village, MI 48076-4528
Phone (248) 552-8195

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301061568MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative & Hospice Consultants PLLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Muksi, LLC Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
Woodward Urgent Care PLLC PastSince Oct 24, 2012 Accepting new patients
Tariq Omar MD PC Family Medicine Past Accepting new patients
S. Talib Raza, P.C. PastSince Apr 1, 2007 Accepting new patients
Comprehensive Psychiatric & Medical Services Past Accepting new patients
McLaren Macomb Family Medicine Past Accepting new patients

Locations

18901 Meyers Rd
Detroit, MI 48235
Phone (313) 864-0857

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
#3
Detroit, MI 48235
Phone (313) 540-4430

26631 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 552-8195

26411 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 424-8000

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

5539 N Mesa St
El Paso, TX 79912

Interoperability endpoints

  • Direct secure messaging: msamad@direct.dmc.org

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1972581908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26411 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764528",
            "telephone_number": "248-552-8195",
            "fax_number": "248-552-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26411 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764528",
            "telephone_number": "248-552-8195",
            "fax_number": "248-552-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "MUNZER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301061568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104617911",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LICENSE #",
            "identifier": "MS061568",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.