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SALLY IMAD OTHMAN MD
NPI 1225720170
Internal Medicine in Garden City, MI

Active since May 22, 2023PECOS Enrolled
6245 INKSTER RD, GARDEN CITY, MI 48135(734) 458-3300 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, May 22, 2023 (2 updates tracked since 2023).

About Sally Imad Othman Md NPPES

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

SALLY IMAD OTHMAN MD (NPI 1225720170) is an individual internal medicine provider in Garden City, Michigan, licensed in Michigan (4301518140) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225720170
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSALLY IMAD OTHMANCredential: MD
Location Address6245 INKSTER RDGarden City, MI 48135-4001
Mailing Address6245 Inkster RdGarden City, MI 48135-4001
Phone(734) 458-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 22, 2023
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1225720170 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 · 4301518140
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.
6245 INKSTER RD, Garden City, MI 48135
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Imad Othman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264904085
PECOS Enrollment IDI20260612001261
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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.

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.

JOHN SWAN D.O
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-8448
DAMANJEET SINGH SAHI DO
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-4486
DENNIS WILKINSON SMYTHE DO
Student in an Organized Health Care Education/Training Program
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3300
GARDEN CITY HOSPITAL
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-1200
CALVIN STEWART JR. CRNA
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3295
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-1200
CAITLIN BOYLE
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3300
MEHRAN SALARI M.D.
Radiology (Diagnostic Radiology)
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3412

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 Sally Othman's NPI number?

The NPI number for Sally Othman is 1225720170. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Sally Othman located?

Sally Othman practices at 6245 Inkster Rd, Garden City, MI 48135. The listed phone number is (734) 458-3300.

What is Sally Othman's specialty?

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

Is Sally Othman enrolled in Medicare?

Yes. Sally Othman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Othman was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.