HOUSSAM M FADLALLAH P.A.-C
NPI 1215922109
Physician Assistant - Medical in Dearborn, MI

Q: What is Houssam Fadlallah's NPI number?

The NPI number for Houssam Fadlallah is 1215922109. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Houssam Fadlallah's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Houssam Fadlallah was last updated on May 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment

6500 SCHAEFER RD, SUITE A, DEARBORN, MI 48126(313) 584-7900(313) 584-4411 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Houssam M Fadlallah P.a.-c NPPES

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

HOUSSAM M FADLALLAH P.A.-C (NPI 1215922109) is an individual medical provider in Dearborn, Michigan, licensed in Michigan (5601003142) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and is a graduate of Wayne State University School Of Medicine (1999).

NPPES Registry Identity

NPI1215922109

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameHOUSSAM M FADLALLAHCredential: P.A.-C

Location Address6500 SCHAEFER RD, SUITE ADearborn, MI 48126

Mailing Address6500 Schaefer Rd, Suite ADearborn, MI 48126-1813 · (313) 584-7900 · Fax (313) 584-4411

Phone(313) 584-7900

Fax(313) 584-4411

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1999

Enumeration DateSeptember 16, 2005

Last NPPES UpdateMay 8, 2017

✔ NPI 1215922109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601003142

6500 SCHAEFER RD, Dearborn, MI 48126

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Other Identifiers 2

Medicare UPINP83648

Medicare ID-Type UnspecifiedP28070055MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Houssam M Fadlallah P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567451958

PECOS Enrollment IDI20040611001039

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

874 services190 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

55 services55 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

46 services39 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

28 services24 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

25 services20 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

17 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers14 claims93 services$6.58 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

1 supplier21 claims21 services$6.83 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers35 claims35 services$35.95 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier17 claims17 services$43.35 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

4 suppliers34 claims34 services$16.82 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$19.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

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