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FAITH WALID GAMMOUH
NPI 1487250700
Physician Assistant in Detroit, MI

Active since December 10, 2020PECOS EnrolledAccepts Medicare Assignment
259 MACK AVE, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 21, 2021, Dec 18, 2020, Dec 10, 2020 (3 updates tracked since 2020).

About Faith Walid Gammouh NPPES

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

FAITH WALID GAMMOUH (NPI 1487250700) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601010551TMP21) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2021).

NPPES Registry Identity

NPI1487250700
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFAITH WALID GAMMOUH
Location Address259 MACK AVEDetroit, MI 48201-2427
Mailing Address259 Mack AveDetroit, MI 48201-2427 · (313) 577-1716
Phone(313) 577-1716
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateDecember 10, 2020
Last NPPES UpdateMay 21, 20213 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1487250700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010551TMP21
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
259 MACK AVE, Detroit, MI 48201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Faith Walid Gammouh 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 ID2668843376
PECOS Enrollment IDI20230117001356
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 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

ANNABEL SHAMMAMI
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
NAMI O EDWARDS CRNA
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-7689
WESLEY CHIU
Pharmacist
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
ESMERALDA LOPEZ
Student in an Organized Health Care Education/Training Program
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1368
AQUANDRALYN BAJRIC
Registered Nurse
259 MACK AVE
DETROIT, MI 48201
Wayne County (616) 272-0659
SARA HOUSTINA PA
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
STEPHANIE JENSEN PELARSKI
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Wayne County (734) 301-0529
DR. KENYETTA NICOLE NESBITT PHARM.D.
Pharmacist (Pharmacotherapy)
259 MACK AVE, EACPHS SUITE 2190
DETROIT, MI 48201
Wayne County (313) 993-7465

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 Faith Gammouh's NPI number?

The NPI number for Faith Gammouh is 1487250700. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Faith Gammouh located?

Faith Gammouh practices at 259 Mack Ave, Detroit, MI 48201. The listed phone number is (313) 577-1716.

What is Faith Gammouh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Faith Gammouh enrolled in Medicare?

Yes. Faith Gammouh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Faith Gammouh accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Faith Gammouh 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 Faith Gammouh was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.