1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Pathology
  6. NPI Profile

KHAIRYA FATOUH MD
NPI 1093323966
Pathology - Anatomic Pathology & Clinical Pathology in Detroit, MI

Active since July 16, 2020PECOS Enrolled
22101 MORROS ROAD, PATHOLOGY DEPARTMENT, DETROIT, DETROIT, MI 48236(313) 343-3864 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khairya Fatouh Md NPPES

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

KHAIRYA FATOUH MD (NPI 1093323966) is an individual anatomic pathology & clinical pathology provider in Detroit, Michigan, licensed in Michigan (4351046391) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093323966
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameKHAIRYA FATOUHCredential: MD
Location Address22101 MORROS ROAD, PATHOLOGY DEPARTMENT, DETROITDetroit, MI 48236
Mailing Address22101 Morros Road, Pathology Department, DetroitDetroit, MI 48236 · (313) 343-3864
Phone(313) 343-3864
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1093323966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MI · 4351046391
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
22101 MORROS ROAD, PATHOLOGY DEPARTMENT, DETROIT, Detroit, MI 48236
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315418027
PECOS Enrollment IDI20260603003436
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 Reassignment

Medicare enrollment records show Khairya Fatouh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Pathology Associates, P.C.
527 mi
Anatomic Pathology & Clinical Pathology
80 SEYMOUR STREET
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Hartford Pathology Associates PC
  • 34 clinicians in this Medicare group
NPI 1063464477 (860) 545-2249

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Khairya Fatouh's NPI number?

The NPI number for Khairya Fatouh is 1093323966. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Khairya Fatouh located?

Khairya Fatouh practices at 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236. The listed phone number is (313) 343-3864.

What is Khairya Fatouh's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Khairya Fatouh enrolled in Medicare?

Yes. Khairya Fatouh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Khairya Fatouh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khairya Fatouh reassigns Medicare benefits to Hartford Pathology Associates, P.C. (Hartford, CT). The 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 Khairya Fatouh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khairya Fatouh was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.