DR. MONA Y FAKIH D.O. NPI 1003013913

Obstetrics & Gynecology - Gynecology in Dearborn Heights, MI

Individual Female Years of Experience 16 Obstetrics & Gynecology Gynecology PECOS Enrolled Accepts Medicare Approved Payment CLIA Number 23D2063940 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About DR. MONA Y FAKIH D.O.

Mona Fakih is a women's health care provider established in Dearborn Heights, Michigan and her medical specialization is Obstetrics & Gynecology with a focus in gynecology with more than 16 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2007. The NPI number of Mona Fakih is 1003013913 and was assigned on July 2007. The practitioner's primary taxonomy code is 207VG0400X with license number 5101017198 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.

Women's health care providers like Dr. Mona Y Fakih D.o. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

The CLIA number of Dr. Mona Y Fakih D.o. is 23D2063940 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Dr. Mona Y Fakih D.o. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1003013913

Provider NameDR. MONA Y FAKIH D.O.
Provider Location Address25150 FORD ROAD SUITE 200 DEARBORN HEIGHTS, MI 48127
Provider Mailing Address25150 FORD ROAD STE 200 DEARBORN HEIGHTS, MI 48127
GenderFemale
NPI Entity TypeIndividual
Medical School NameMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date07-03-2007
Last Update Date11-26-2013



Mona Fakih is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mona Fakih is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Beaumont Hospital - Dearborn.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.94 for a new patient copayment and $18.9 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207VG0400X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationGynecology
License No.5101017198
License StateMI

Business Address

DR. MONA Y FAKIH D.O.
25150 FORD ROAD SUITE 200
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 277-0400

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Mailing Address

DR. MONA Y FAKIH D.O.
25150 FORD ROAD STE 200
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 277-0400


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9638347867
PECOS Enrollment IDI20110714000216
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 48127 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.64 $184.65 $139.76
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.16 $46.16 $34.94
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.56 $150 $75.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.64 $37.5 $18.9

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 33Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • 33Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • 23Ultrasound pelvis through vagina (HCPCS:76830)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mona Fakih is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BEAUMONT HOSPITAL - DEARBORN18101 OAKWOOD BLVD
DEARBORN, MI 48124
(313) 593-7125Acute Care Hospitals230020

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003013913 is:

CLIA Number23D2063940
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003013913
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 9 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003013913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Mona Y Fakih D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.