FADI SAMER MOUSA AYOUB M.D.
NPI 1689413858
Internal Medicine in Southfield, MI

Active since May 20, 2024PECOS Enrolled
22250 PROVIDENCE DR. 3PMB SUITE #301, 22250 PROVIDENCE DR. 3PMB SUITE #301, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-5449 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fadi Samer Mousa Ayoub M.d. NPPES

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

FADI SAMER MOUSA AYOUB M.D. (NPI 1689413858) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4351052672) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689413858
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFADI SAMER MOUSA AYOUBCredential: M.D.
Location Address22250 PROVIDENCE DR. 3PMB SUITE #301, 22250 PROVIDENCE DR. 3PMB SUITE #301Southfield, MI 48075-4818
Mailing Address22250 Providence Dr. 3pmb Suite #301, 22250 Providence Dr. 3pmb Suite #301Southfield, MI 48075-4818 · (248) 849-3281 · Fax (248) 849-5449
Fax(248) 849-5449
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateJuly 24, 2024
NPI 1689413858 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 · 4351052672
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.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fadi Samer Mousa Ayoub M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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
$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 3

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

Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR. 3PMB SUITE #301
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR. 3PMB SUITE #301
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR. 3PMB SUITE #301
SOUTHFIELD, MI 48075

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 Fadi Ayoub's NPI number?

The NPI number for Fadi Ayoub is 1689413858. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Fadi Ayoub located?

Fadi Ayoub practices at 22250 Providence Dr. 3pmb Suite #301 22250 Providence Dr. 3pmb Suite #301, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Fadi Ayoub's specialty?

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

Is Fadi Ayoub enrolled in Medicare?

Yes. Fadi Ayoub is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fadi Ayoub was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.