WEST DEARBORN PRIMARY CARE PHYSICIANS
NPI 1427787241
Internal Medicine in Dearborn, MI

Active since June 07, 2022CLIA 23D2306055 · Waiver
2421 MONROE ST STE 103, DEARBORN, MI 48124(313) 447-0888(313) 458-4004 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2023, Mar 24, 2023, Jun 12, 2022 (3 updates tracked since 2022).

About West Dearborn Primary Care Physicians NPPES

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

WEST DEARBORN PRIMARY CARE PHYSICIANS (NPI 1427787241) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Soha Alfares, Md/partner, as its authorized official.

NPPES Registry Identity

NPI1427787241
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST DEARBORN PRIMARY CARE
Location Address2421 MONROE ST STE 103Dearborn, MI 48124-3043
Mailing Address2421 Monroe St Ste 103Dearborn, MI 48124-3043 · (313) 447-0888 · Fax (313) 458-4004
Fax(313) 458-4004
Organization SubpartNo
Authorized OfficialSoha AlfaresMd/partner · (313) 447-0888
Enumeration DateJune 7, 2022
Last NPPES UpdateJune 15, 20233 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1427787241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2421 MONROE ST STE 103, Dearborn, MI 48124

Other Names 1

Doing Business AsWest Dearborn Primary Care Physicians

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

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 23D2306055

West Dearborn Primary Care · Dearborn, MI
Active · expires Jun 10, 2028
CLIA Number23D2306055
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorAlkhoury Ghattas
Laboratory Phone(313) 447-0888
Laboratory LocationWest Dearborn Primary Care2421 Monroe Street Suite 103, Dearborn, MI 48124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Dearborn Primary Care's NPI number?

The NPI number for West Dearborn Primary Care is 1427787241. It was assigned to this organization in the NPPES registry on June 7, 2022. The provider is doing business as West Dearborn Primary Care Physicians.

Where is West Dearborn Primary Care located?

West Dearborn Primary Care is located at 2421 Monroe St Ste 103, Dearborn, MI 48124. The listed phone number is (313) 447-0888.

What is West Dearborn Primary Care's specialty?

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

Does West Dearborn Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2306055) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Dearborn Primary Care accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list West Dearborn Primary Care 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 West Dearborn Primary Care was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.