IMPACT
NPI 1053510446
Internal Medicine in Pontiac, MI

Active since July 16, 2007
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5516(248) 338-5547 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Impact NPPES

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

IMPACT (NPI 1053510446) is a healthcare organization registered as an internal medicine in Pontiac, Michigan and active in the NPI registry since July 2007. The organization lists Fadi Salloum, Owner, as its authorized official.

NPPES Registry Identity

NPI1053510446
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFADI SALLOUM MD PC
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing AddressPo Box 869Bloomfield Hills, MI 48303-0869 · (248) 267-0135 · Fax (248) 338-5547
Fax(248) 338-5547
Organization SubpartNo
Authorized OfficialFadi SalloumOwner · (248) 267-0135
Enumeration DateJuly 16, 2007
Last NPPES UpdateAugust 7, 2013
✔ NPI 1053510446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301065435
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
50 N PERRY ST, Pontiac, MI 48342

Other Names 1

Doing Business AsImpact

Other Identifiers 2

OtherOP46550MI · Medicare Group #
Medicare PINP46550001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20070813000088Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Impact, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Internal Medicine35
Nurse Practitioner19
Family Practice5
Critical Care (Intensivists)2
Hematology/Oncology2
Cardiovascular Disease (Cardiology)1
Diagnostic Radiology1
Hospitalist1
2 other specialties2

Nearest to this location (20)

See all 68
Internal Medicine
NPI 1376110213
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5645
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972746105
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5516
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1760490957
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5645
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205874831
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5516
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588903298
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5516
✔ PECOSSame address
Internal Medicine
NPI 1740849249
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1083298012
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5000
✔ PECOSSame address
Internal Medicine
NPI 1053524017
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194543686
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5824
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1811425184
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5645
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1639855570
50 N PERRY
Pontiac, MI 48342
(248) 338-5392
✔ PECOS0.1 mi
Family Practice
NPI 1962632042
461 W HURON ST STE 107
Pontiac, MI 48341
(248) 857-7141
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1861409302
673 MLK BLVD N
Pontiac, MI 48342
(248) 338-2793
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1437327350
44405 WOODWARD AVE
Pontiac, MI 48341
(248) 858-3000
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1598364911
44405 WOODWARD AVE
Pontiac, MI 48341
(248) 858-3000
✔ PECOS✔ Accepts Medicare1.8 mi
Infectious Disease
NPI 1689671281
44555 WOODWARD AVE STE 301
Pontiac, MI 48341
(248) 332-8404
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1386179885
43097 WOODWARD AVE
Bloomfield Hills, MI 48302
(248) 334-0050
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1669940409
5680 WRIGHT DR
Troy, MI 48098
(248) 925-8256
✔ PECOS✔ Accepts Medicare7.4 mi
Hospitalist
NPI 1245818830
1011 W UNIVERSITY DR
Rochester, MI 48307
(734) 377-4796
✔ PECOS✔ Accepts Medicare7.9 mi
Family Practice
NPI 1073017075
28545 ORCHARD LAKE RD UNIT 1
Farmington Hills, MI 48334
(248) 365-6064
✔ PECOS✔ Accepts Medicare9.8 mi
See all 68 clinicians

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

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 Fadi Salloum MD PC's NPI number?

The NPI number for Fadi Salloum MD PC is 1053510446. It was assigned to this organization in the NPPES registry on July 16, 2007. The provider is doing business as Impact.

Where is Fadi Salloum MD PC located?

Fadi Salloum MD PC is located at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5516.

What is Fadi Salloum MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fadi Salloum MD PC enrolled in Medicare?

Yes. Fadi Salloum MD PC is registered in the Medicare PECOS enrollment system.

When is Fadi Salloum MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fadi Salloum MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 10 Medicare specialties reassign their Medicare billing to Fadi Salloum MD PC. A 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 the clinician's services. The largest specialties are Internal Medicine (35), Nurse Practitioner (19) and Family Practice (5). Of these, 9 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fadi Salloum MD PC 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 Fadi Salloum MD PC 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 Fadi Salloum MD PC was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.