DR. SAM HAKKI HACKETTE MD
NPI 1043253602
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Warren, MI

Active since June 13, 2006PECOS Enrolled
27789 MOUND RD STE 100, WARREN, MI 48092(313) 209-3353(313) 406-7255 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, Apr 17, 2020, Apr 10, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Sam Hakki Hackette Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM HAKKI HACKETTE MD (NPI 1043253602) is an individual adult reconstructive orthopaedic surgery provider in Warren, Michigan, licensed in Michigan (4301104354) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043253602
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. SAM HAKKI HACKETTECredential: MD
Location Address27789 MOUND RD STE 100Warren, MI 48092-2697
Mailing AddressPo Box 880Sterling Hts, MI 48311-0880
Fax(313) 406-7255
Sole ProprietorYes
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 30, 20215 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1043253602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in MI · 4301104354
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
27789 MOUND RD STE 100, Warren, MI 48092

Other Names 1

Other Name (5)Prof. Sam Hakki Md

Other Identifiers 1

OtherMI7592002MI · Medicare Identification Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Hakki Hackette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sam Hakki Hackette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
27789 MOUND RD STE 100
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
Clinic/Center
27789 MOUND RD STE 100
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
Health Educator
27789 MOUND RD STE 100
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
27789 MOUND RD STE 100
WARREN, MI 48092
Clinic/Center
27789 MOUND RD STE 100
WARREN, MI 48092
Orthopaedic Surgery
27789 MOUND RD STE 100
WARREN, MI 48092
Rehabilitation Unit
27789 MOUND RD STE 100
WARREN, MI 48092
Health Educator
27789 MOUND RD STE 100
WARREN, MI 48092
Orthopaedic Surgery
27789 MOUND RD STE 100
WARREN, MI 48092
Clinic/Center (Medical Specialty)
27789 MOUND RD STE 100
WARREN, MI 48092
Orthopaedic Surgery
27789 MOUND RD STE 100
WARREN, MI 48092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Hakki Hackette's NPI number?

The NPI number for Sam Hakki Hackette is 1043253602. It was assigned to this individual provider in the NPPES registry on June 13, 2006. The provider is also known as Prof. Sam Hakki MD.

Where is Sam Hakki Hackette located?

Sam Hakki Hackette practices at 27789 Mound Rd Ste 100, Warren, MI 48092. The listed phone number is (313) 209-3353.

What is Sam Hakki Hackette's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Sam Hakki Hackette enrolled in Medicare?

Yes. Sam Hakki Hackette is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sam Hakki Hackette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Hakki Hackette reassigns Medicare benefits to 3 organizations: MD Spine And Health Center LLC (Warren, MI), Mini Invasive Orthopedics (Warren, MI) and Radiology Group LLC (Warren, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sam Hakki Hackette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Hakki Hackette accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sam Hakki Hackette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Hakki Hackette was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.