DR. MONA Y FAKIH D.O.
NPI 1003013913
Obstetrics & Gynecology - Gynecology in Dearborn Heights, MI

NPI Status: Active since July 03, 2007

Contact Information

25150 FORD ROAD SUITE 200
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 277-0400

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  • Individual
  • Female
  • Years of Experience 17
  • Obstetrics & Gynecology
  • Gynecology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • CLIA Number: 23D2063940
  • CLIA Cert. Type: PPMP
  • CLIA Exp. Date: 08-11-2025

About MONA FAKIH

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 17 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1003013913 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 11 years ago.

NPI
1003013913
Provider Name
DR. MONA Y FAKIH D.O.
Gender
Female
Entity Type
Individual
Location Address
25150 FORD ROAD SUITE 200 DEARBORN HEIGHTS, MI 48127
Location Phone
(313) 277-0400
Mailing Address
25150 FORD ROAD STE 200 DEARBORN HEIGHTS, MI 48127
Mailing Phone
(313) 277-0400
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
07-03-2007
Last Update Date
11-26-2013
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Women's health care providers like Mona Fakih 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.

Mona Fakih is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
5101017198
License State
MI
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Buckeye Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
  • Ambetter from Meridian

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
  • Ambetter from MHS

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • Blue Care Network of Michigan

    • Blue Cross® Local HMO Bronze Extra - HMO
    • Blue Cross® Local HMO Bronze Secure - HMO
    • Blue Cross® Local HMO Silver Extra - HMO
    • Blue Cross® Local HMO Silver Saver - HMO
    • Blue Cross® Metro Detroit HMO Bronze - HMO
    • Blue Cross® Metro Detroit HMO Bronze Extra - HMO
    • Blue Cross® Metro Detroit HMO Silver Extra - HMO
    • Blue Cross® Preferred HMO Bronze - HMO
    • Blue Cross® Preferred HMO Bronze Extra - HMO
    • Blue Cross® Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross Blue Shield of Michigan Mutual Insurance Company

    • Blue Cross® Premier PPO Bronze Extra - PPO
    • Blue Cross® Premier PPO Bronze HSA - PPO
    • Blue Cross® Premier PPO Bronze Secure - PPO
    • Blue Cross® Premier PPO Gold - PPO
    • Blue Cross® Premier PPO Gold Extra - PPO
    • Blue Cross® Premier PPO Silver - PPO
    • Blue Cross® Premier PPO Silver Extra - PPO
    • Blue Cross® Premier PPO Silver Saver HSA - PPO
    • Blue Cross® Premier PPO Value - PPO
  • McLaren Health Plan Community

    • MHP Bronze - HMO
    • MHP Bronze Saver - HMO
    • MHP Bronze VCP - HMO
    • MHP Expanded Bronze Standard - HMO
    • MHP Gold - HMO
    • MHP Gold Standard - HMO
    • MHP Gold VCP - HMO
    • MHP Silver Exchange - HMO
    • MHP Silver Exchange Rewards - HMO
    • MHP Silver Exchange VCP - HMO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
  • Priority Health

    • MyPriority Balanced Silver - HMO
    • MyPriority Balanced Silver Southeast Michigan Network - HMO
    • MyPriority Enhanced Gold Southeast Michigan Network - HMO
    • MyPriority Premier Silver - HMO
    • MyPriority Premier Silver Southeast Michigan Network - HMO
    • MyPriority Standard Bronze - HMO
    • MyPriority Standard Bronze - Southeast Michigan Network - HMO
    • MyPriority Standard Bronze - Travel - HMO
    • MyPriority Standard Gold - HMO
    • MyPriority Standard Gold Southeast Michigan Network - HMO
  • UnitedHealthcare

    • UHC Bronze Virtual First (Unlimited App-based Care) (Disponible en espanol) - HMO
    • UHC Gold Virtual First (Unlimited App-based Care) (Disponible en espanol) - HMO
    • UHC Silver Virtual First (Unlimited App-based Care) (Disponible en espanol) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638347867

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110714000216

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48127 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.76
  • Minimum New Patient Price $60.64
  • Maximum New Patient Price $184.65
  • Average New Patient Copayment $34.94
  • Minimum New Patient Copayment $15.16
  • Maximum New Patient Copayment $46.16

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.6
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $150
  • Average Established Patient Copayment $18.9
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $37.5

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

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 47

    Automated urinalysis test (HCPCS:81003)

  • 18

    Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

  • 18

    Ultrasound pelvis through vagina (HCPCS:76830)

  • 14

    Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
BEAUMONT HOSPITAL - DEARBORN18101 OAKWOOD BLVD
DEARBORN, MI 48124
(313) 593-7125Acute Care Hospitals

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 this NPI number is:

CLIA Number
23D2063940
Facility Type
Physician Office
Certificate Effective Date
August 12, 2023
Certificate Expiration Date
August 11, 2025
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mona Fakih 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.

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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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013913, enumerated in the NPI registry as an "individual" on July 03, 2007

The provider is located at 25150 Ford Road Suite 200 Dearborn Heights, Mi 48127 and the phone number is (313) 277-0400

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology

The provider has more than 17 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2007.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $139.76 with an average copayment of $34.94 for new patient appointments. Established patients should expect a typical charge of $75.6 and an average copayment of 18.9. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Automated urinalysis test, Cervical or vaginal cancer screening; pelvic and clinical breast examination, Ultrasound pelvis through vagina and Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.

The provider's CLIA number is 23D2063940 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued 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..

The practitioner is affiliated to the following hospital(s): BEAUMONT HOSPITAL - DEARBORN. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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