Impact - Medicare Primary Care in Pontiac, MI

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Impact is a medicare enrolled primary clinic (Internal Medicine) in Pontiac, Michigan. The current practice location for Impact is 50 N Perry St, Pontiac, Michigan. For appointments, you can reach them via phone at (248) 338-5516. The mailing address for Impact is Po Box 869, Bloomfield Hills, Michigan and phone number is (248) 267-0135.

Impact is licensed to practice in Michigan (license number 4301065435). The clinic also participates in the medicare program and its NPI number is 1053510446. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (248) 338-5516.

Contact Information

Impact
50 N Perry St
Pontiac
MI 48342-2217
(248) 338-5516
(248) 338-5547

Map and Direction


Primary Care Clinic Profile

Full NameImpact
SpecialityInternal Medicine
Location50 N Perry St, Pontiac, Michigan
Authorized Official Name and PositionFadi Salloum (OWNER)
Authorized Official Contact2482670135
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Impact
Po Box 869
Bloomfield Hills
MI 48303-0869

Ph: (248) 267-0135		Impact
50 N Perry St
Pontiac
MI 48342-2217

Ph: (248) 338-5516

NPI Details:

NPI Number1053510446
Provider Enumeration Date07/16/2007
Last Update Date08/07/2013

Medicare PECOS Information:

Medicare PECOS PAC ID2062503584
Medicare Enrollment IDO20070813000088

Medical Identifiers

Medical identifiers for Impact such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053510446NPI-NPPES
OP46550OtherMIMEDICARE GROUP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301065435 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Impact acts as a billing entity for following providers:
Provider NameRobert C Levine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104815232
PECOS PAC ID: 3476456112
Enrollment ID: I20040129000807
Provider NameJo A Mitchell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700811254
PECOS PAC ID: 9830084755
Enrollment ID: I20040219000353
Provider NameFadi Salloum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205874831
PECOS PAC ID: 8426943200
Enrollment ID: I20040219000822
Provider NameVachareeporn T Jayasvasti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801953492
PECOS PAC ID: 9638133622
Enrollment ID: I20041118000914
Provider NameReem J Alsabti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073548541
PECOS PAC ID: 5799741682
Enrollment ID: I20041206000231
Provider NameFranklin J Rosenblat
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1689671281
PECOS PAC ID: 2264487792
Enrollment ID: I20050318000872
Provider NameJeffrey A Mason
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760490957
PECOS PAC ID: 4486692381
Enrollment ID: I20050421000176
Provider NameAnvita B Saini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558461392
PECOS PAC ID: 8729029178
Enrollment ID: I20050517000323
Provider NameTracey A Haener
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295709103
PECOS PAC ID: 2264475573
Enrollment ID: I20050608000115
Provider NameDebra J Gaves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063501765
PECOS PAC ID: 6800830654
Enrollment ID: I20050614000138
Provider NameFrancesca M Petrilli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952354631
PECOS PAC ID: 1658371653
Enrollment ID: I20070502000135
Provider NameEmily K Hurst
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1215024765
PECOS PAC ID: 0749353894
Enrollment ID: I20080722000731
Provider NameJahanzeb Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336353929
PECOS PAC ID: 3870675374
Enrollment ID: I20080821000110
Provider NameRajinder S Grewal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437327350
PECOS PAC ID: 0345389391
Enrollment ID: I20091203000617
Provider NameRochelle L Loyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154658573
PECOS PAC ID: 0345377990
Enrollment ID: I20100429001212
Provider NameKiran Saraiya
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1649483660
PECOS PAC ID: 0547453656
Enrollment ID: I20101021000822
Provider NameMandhir S Jamwal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932302346
PECOS PAC ID: 5496942757
Enrollment ID: I20101213000526
Provider NameDavid A Minter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053524017
PECOS PAC ID: 8123206638
Enrollment ID: I20110706000182
Provider NameJessica J Mcleod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700163672
PECOS PAC ID: 9537326251
Enrollment ID: I20120208000820
Provider NameLuke James Marcus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972746105
PECOS PAC ID: 3971768029
Enrollment ID: I20120622000605
Provider NameRubina M Syed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588903298
PECOS PAC ID: 9234374893
Enrollment ID: I20130402000285
Provider NameMaan Ekkah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962632042
PECOS PAC ID: 3678707593
Enrollment ID: I20131009000364
Provider NameKelly A Ternes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609187020
PECOS PAC ID: 1052553195
Enrollment ID: I20140303001925
Provider NameKathleen Oneill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538571807
PECOS PAC ID: 5597989913
Enrollment ID: I20140604002460
Provider NameRobert James Brown
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518306422
PECOS PAC ID: 8729214085
Enrollment ID: I20141106000289
Provider NameGeorge J Ghuneim
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881034791
PECOS PAC ID: 9133363369
Enrollment ID: I20141119000931
Provider NamePunyacha C Crocker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801294020
PECOS PAC ID: 1951627298
Enrollment ID: I20150305000064
Provider NameHazem Malas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295022424
PECOS PAC ID: 0749423358
Enrollment ID: I20150427002397
Provider NameMatthew L Edwards
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1073877098
PECOS PAC ID: 9234372335
Enrollment ID: I20150814012874
Provider NameFallon M Kapatais
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477811925
PECOS PAC ID: 0941529101
Enrollment ID: I20150826001447
Provider NameYousuf Baig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881957611
PECOS PAC ID: 2668610304
Enrollment ID: I20150921003136
Provider NameSamer S Aida
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699114926
PECOS PAC ID: 6103134499
Enrollment ID: I20151007000124
Provider NameSyed S Qadri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619233749
PECOS PAC ID: 1355648692
Enrollment ID: I20160331000390
Provider NameAhmad M Yasin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598007510
PECOS PAC ID: 4587973318
Enrollment ID: I20160428000992
Provider NameRobert Kirchoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427312388
PECOS PAC ID: 3870739592
Enrollment ID: I20160516002324
Provider NameNicholas Anthony Poponea
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538579776
PECOS PAC ID: 5092935163
Enrollment ID: I20160615000110
Provider NameStephanie Kaplan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164765608
PECOS PAC ID: 7012200777
Enrollment ID: I20160719001088
Provider NameJoseph Eric Gamalski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952741670
PECOS PAC ID: 6608161914
Enrollment ID: I20160825002202
Provider NameTina E Abraham
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1215376108
PECOS PAC ID: 7416199583
Enrollment ID: I20161109000294
Provider NameOlessya V Mazurs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134670136
PECOS PAC ID: 3971882978
Enrollment ID: I20161115001932
Provider NameMariana Manescu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184161259
PECOS PAC ID: 1355627258
Enrollment ID: I20170407000058
Provider NameDeborah J Sperry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386179885
PECOS PAC ID: 2466729306
Enrollment ID: I20170525001578
Provider NameHosam Hakim
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1619228483
PECOS PAC ID: 9830330141
Enrollment ID: I20170914002212
Provider NameMohammad Saleh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619394004
PECOS PAC ID: 3779892500
Enrollment ID: I20171005002314
Provider NameGita Seferi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871021873
PECOS PAC ID: 8123394285
Enrollment ID: I20171018001013
Provider NameGeorge R Dirani
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1619310885
PECOS PAC ID: 2062644875
Enrollment ID: I20180302002036
Provider NameCarly Np Kassa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083106140
PECOS PAC ID: 3971859687
Enrollment ID: I20180711002005
Provider NameChristopher M Nofar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649652462
PECOS PAC ID: 2163735051
Enrollment ID: I20180720001134
Provider NameUzair A Munshey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841671146
PECOS PAC ID: 2264747427
Enrollment ID: I20180725001375
Provider NameAshish Chaddha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376955492
PECOS PAC ID: 7911217682
Enrollment ID: I20180918000697
Provider NameSally E Azzo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396132106
PECOS PAC ID: 5092016113
Enrollment ID: I20180924000605
Provider NameRamdeep Mann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730664129
PECOS PAC ID: 2264770825
Enrollment ID: I20190207000124
Provider NameAstasia C Goodenough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669940409
PECOS PAC ID: 9436497617
Enrollment ID: I20190213002119
Provider NameMonica M Tadros
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215386552
PECOS PAC ID: 0547554032
Enrollment ID: I20190712002278
Provider NameFatima Asif
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528429446
PECOS PAC ID: 2163706920
Enrollment ID: I20190713000048
Provider NameJason A Mouabbi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750793204
PECOS PAC ID: 1759690761
Enrollment ID: I20190826003614
Provider NameMarisa Soltys
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649824681
PECOS PAC ID: 7416286810
Enrollment ID: I20190910003826
Provider NameAriola Cacaj Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083267801
PECOS PAC ID: 8527399070
Enrollment ID: I20191014002938
Provider NameKinjel S Shastri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568810091
PECOS PAC ID: 5597059915
Enrollment ID: I20191015000139
Provider NameKaitlyn E Cheedie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710538947
PECOS PAC ID: 3971834235
Enrollment ID: I20191017001538
Provider NameSamantha Michelle Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154968667
PECOS PAC ID: 4587098363
Enrollment ID: I20200103000109
Provider NameCherlyn Renae Giulianelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285296228
PECOS PAC ID: 6406282185
Enrollment ID: I20200129001821
Provider NameZahra Alami
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811425184
PECOS PAC ID: 1254603418
Enrollment ID: I20200317002197
Provider NameClaire Magill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922662972
PECOS PAC ID: 1658700869
Enrollment ID: I20200408003590
Provider NameJustin Rodnez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932729274
PECOS PAC ID: 8224469275
Enrollment ID: I20200507002275
Provider NameOluwabunmi D Adebayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922650787
PECOS PAC ID: 4789000522
Enrollment ID: I20200811003325
Provider NameVictoria Balcom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952833857
PECOS PAC ID: 7214357102
Enrollment ID: I20201014002757
Provider NameBelinda Becker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962000539
PECOS PAC ID: 1254741002
Enrollment ID: I20201105001013
Provider NameBriahnnon Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598364911
PECOS PAC ID: 3779993233
Enrollment ID: I20201112000590
Provider NameMichelle A Mitchell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023384567
PECOS PAC ID: 5698080737
Enrollment ID: I20210413002035
Provider NameRabia Zahid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346734043
PECOS PAC ID: 0143577387
Enrollment ID: I20210512002176
Provider NameAzimabbas Saiyed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619405057
PECOS PAC ID: 5597037036
Enrollment ID: I20210630001311
Provider NameMelissa Mobley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033883947
PECOS PAC ID: 3678978517
Enrollment ID: I20210816002898
Provider NameKelly J Wilcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336814490
PECOS PAC ID: 4082010806
Enrollment ID: I20210902001422
Provider NameNabeel Rizvi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104273879
PECOS PAC ID: 3870885759
Enrollment ID: I20210907000482
Provider NameAkarsh Parekh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184156945
PECOS PAC ID: 9133493612
Enrollment ID: I20211228000242
Provider NameMaamoun Zane
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669831509
PECOS PAC ID: 0749691384
Enrollment ID: I20220110000094
Provider NameAndrea Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780344226
PECOS PAC ID: 1850783168
Enrollment ID: I20220119000413
Provider NameKevin J Ostler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114679925
PECOS PAC ID: 8527451574
Enrollment ID: I20220215001774
Provider NameJason G Kaplan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912491853
PECOS PAC ID: 5799032918
Enrollment ID: I20220511000216
Provider NameHnin Lwin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528547932
PECOS PAC ID: 5890038285
Enrollment ID: I20220526002802
Provider NameAndrew Bacha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518511179
PECOS PAC ID: 5799014239
Enrollment ID: I20220531001915
Provider NameRami Yousif
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922560853
PECOS PAC ID: 5294066049
Enrollment ID: I20220718003196
Provider NameAyat Ghosn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134783251
PECOS PAC ID: 7719216282
Enrollment ID: I20220719000213
Provider NameMohamed Ayman Mohamed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679131957
PECOS PAC ID: 8123352085
Enrollment ID: I20221107002718
Provider NameChristos F Deamont
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740849249
PECOS PAC ID: 2961733670
Enrollment ID: I20230120002383
Provider NamePatric G Shamoon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447875976
PECOS PAC ID: 3870918949
Enrollment ID: I20230624000165

Reviews and Comments


Internal Medicine in Pontiac, MI

Grace Pediatrics Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 44200 Woodward Ave Ste 103, Pontiac, MI 48341
Phone: 248-253-9600    Fax: 248-253-0980
Oakland Progressive Medical Group, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 461 W Huron St, Suite 600, Seminole Building, Pontiac, MI 48341
Phone: 248-857-7500    
Oakland Physicians Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 461 W Huron St, Pontiac, MI 48341
Phone: 248-857-7583    
A.w.c. Fairclough Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 989 University Dr, Suite 107, Pontiac, MI 48342
Phone: 248-334-4773    Fax: 248-334-8230
Oakland Primary Health Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 46 N Saginaw St, Pontiac, MI 48342
Phone: 248-322-6747    Fax: 248-322-5787
Kay Robertson
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 44200 Woodward Ave, Suite 205, Pontiac, MI 48341
Phone: 248-858-9400    Fax: 248-858-9493

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.