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ADHAM ALSAMSAM MD
NPI 1578711636
Obstetrics & Gynecology - Maternal & Fetal Medicine in Southfield, MI

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
22255 GREENFIELD RD STE 350, SOUTHFIELD, MI 48075(248) 849-2710(248) 849-4024 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2018, Dec 14, 2015 (2 updates tracked since 2015).

About Adham Alsamsam Md NPPES

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

ADHAM ALSAMSAM MD (NPI 1578711636) is an individual maternal & fetal medicine provider in Southfield, Michigan, licensed in Michigan (4301092834) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Baystate Franklin Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578711636
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameADHAM ALSAMSAMCredential: MD
Location Address22255 GREENFIELD RD STE 350Southfield, MI 48075-3712
Mailing Address22255 Greenfield RdSouthfield, MI 48075-3710 · (248) 849-2710 · Fax (248) 849-4024
Phone(248) 849-2710
Fax(248) 849-4024
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1578711636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in MI · 4301092834✔ Licensed in MA · 1021131
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4301092834 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301092834 (MI)
22255 GREENFIELD RD STE 350, Southfield, MI 48075
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11322 E Michigan Avenue, Suite 220Lansing, MI 48912 · Phone (517) 364-2577 · Fax (517) 485-3558
Location 2759 Chestnut StSpringfield, MA 01107-1619 · Phone (413) 794-9939 · Fax (413) 794-8166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adham Alsamsam Md 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 ID4082879184
PECOS Enrollment IDI20120622000018, I20251027003455
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Adham Alsamsam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension St John Hospital
Same address
Hematology & Oncology
22301 FOSTER WINTER DR, 2N FLOOR
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health St. John Hospital
  • 520 clinicians in this Medicare group
NPI 1922397058 (248) 552-0620
Ascension Providence Hospital
1.5 mi
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • 393 clinicians in this Medicare group
NPI 1619932670 (248) 849-3000
Henry Ford Health Macomb-Oakland Hospital
11 mi
Family Medicine
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
NPI 1134176472 (586) 573-5000
Inner Vision Womens Ultrasound Plc
475 mi
Diagnostic Radiology
2011 MURPHY AVE STE 205
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1093826133 (615) 342-6850
Baystate Medical Practices, Inc
543 mi
Emergency Medical Services
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,537 clinicians in this Medicare group
NPI 1548205909 (413) 794-5700
Avera Mckennan
667 mi
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1003389206 (712) 472-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

Reported Quality Measures

Cervical Cancer Screening
40%652 patients2/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
73%120 patients2/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

LORI MACKILLOP N.P.
Nurse Practitioner (Adult Health)
22255 GREENFIELD RD STE 350
SOUTHFIELD, MI 48075
Oakland County (248) 849-2710

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 Adham Alsamsam's NPI number?

The NPI number for Adham Alsamsam is 1578711636. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Adham Alsamsam located?

Adham Alsamsam practices at 22255 Greenfield Rd Ste 350, Southfield, MI 48075. The listed phone number is (248) 849-2710.

What is Adham Alsamsam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Adham Alsamsam enrolled in Medicare?

Yes. Adham Alsamsam 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.

Which organizations bill Medicare for Adham Alsamsam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adham Alsamsam reassigns Medicare benefits to 6 organizations: Ascension St John Hospital (Southfield, MI), Ascension Providence Hospital (Southfield, MI), Henry Ford Health Macomb-Oakland Hospital (Warren, MI), Inner Vision Womens Ultrasound Plc (Nashville, TN), Baystate Medical Practices, Inc (Springfield, MA) and 1 more organization, listed in the Medicare section above. Each 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 Adham Alsamsam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adham Alsamsam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Adham Alsamsam 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.

Is Adham Alsamsam affiliated with any hospitals?

According to CMS data, Adham Alsamsam is affiliated with Baystate Franklin Medical Center.

When was this NPI record last updated?

The NPPES record for Adham Alsamsam was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.