FARES ALGHANEM
NPI 1043837750
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Fares Alghanem's NPI number?

The NPI number for Fares Alghanem is 1043837750. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Fares Alghanem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Fares Alghanem was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 29, 2020PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1601 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Jun 29, 2020 (2 updates tracked since 2020).

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About Fares Alghanem NPPES

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

FARES ALGHANEM (NPI 1043837750) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1043837750

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameFARES ALGHANEM

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1632 Stone StSaginaw, MI 48602 · (989) 583-0000

Phone(313) 916-1601

Sole ProprietorNo

Enumeration DateJune 29, 2020

Last NPPES UpdateApril 7, 20222 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1043837750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 1900 Cooper AveSaginaw, MI 48602-5182 · Phone (989) 583-0000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fares Alghanem 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.

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Other Providers at the Same Location NPPES 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital