GREENWARREN FAMILY CLINIC
NPI 1164234639
Family Medicine in Dearborn, MI
About Greenwarren Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENWARREN FAMILY CLINIC (NPI 1164234639) is a healthcare organization registered as a family medicine in Dearborn, Michigan and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Samer Ibrahim Homisha, Physican, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greenwarren Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Greenwarren Family Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2328576
Greenwarren Family Clinic · Dearborn, MIFrequently 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 Greenwarren Family Clinic's NPI number?
The NPI number for Greenwarren Family Clinic is 1164234639. It was assigned to this organization in the NPPES registry on January 22, 2025.
Where is Greenwarren Family Clinic located?
Greenwarren Family Clinic is located at 5237 Oakman Blvd Ste E, Dearborn, MI 48126. The listed phone number is (313) 420-8300.
What is Greenwarren Family Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Greenwarren Family Clinic enrolled in Medicare?
Yes. Greenwarren Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greenwarren Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Greenwarren Family Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Greenwarren Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2328576) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Greenwarren Family Clinic accept?
Health plans from Blue Care Network of Michigan list Greenwarren Family Clinic 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 Greenwarren Family Clinic was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Greenwarren Family Clinic · NPI 1164234639
Family Medicine organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1164234639 (Entity type: Organization)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samer Homisha, PHYSICAN
## Practice location
- **Address:** 5237 OAKMAN BLVD STE E, Dearborn, MI 48126-4045
- **Phone:** (313) 420-8300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164234639) · Data from the CMS NPPES public registry.