Hazel Park Primary Care LLC
NPI 1306407440ActiveOrganization· Family Medicine· Hazel Park, MI
Family Medicine in Hazel Park, Michigan, registered in NPPES in June 2019. The authorized official on file is Mohamed G. Saleh, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306407440 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2019 |
| Last updated in NPPES | Aug 14, 2023 |
| Certified by provider | Aug 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Preventive Medicine, Addiction Medicine | 2083A0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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