| Impact | |
|
50 N Perry St Pontiac MI 48342-2217 | |
| (248) 338-5516 | |
| (248) 338-5547 |
| Full Name | Impact |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 N Perry St, Pontiac, Michigan |
| Authorized Official Name and Position | Fadi Salloum (OWNER) |
| Authorized Official Contact | 2482670135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1053510446 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 08/07/2013 |
| Medicare PECOS PAC ID | 2062503584 |
|---|---|
| Medicare Enrollment ID | O20070813000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053510446 | NPI | - | NPPES |
| OP46550 | Other | MI | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301065435 (Michigan) | Primary |
| Provider Name | Robert C Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104815232 PECOS PAC ID: 3476456112 Enrollment ID: I20040129000807 |
| Provider Name | Fadi Salloum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205874831 PECOS PAC ID: 8426943200 Enrollment ID: I20040219000822 |
| Provider Name | Reem J Alsabti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073548541 PECOS PAC ID: 5799741682 Enrollment ID: I20041206000231 |
| Provider Name | Franklin J Rosenblat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689671281 PECOS PAC ID: 2264487792 Enrollment ID: I20050318000872 |
| Provider Name | Jeffrey a Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760490957 PECOS PAC ID: 4486692381 Enrollment ID: I20050421000176 |
| Provider Name | Debra J Gaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063501765 PECOS PAC ID: 6800830654 Enrollment ID: I20050614000138 |
| Provider Name | Francesca M Petrilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952354631 PECOS PAC ID: 1658371653 Enrollment ID: I20070502000135 |
| Provider Name | Raied M Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417125519 PECOS PAC ID: 9032282546 Enrollment ID: I20080716000746 |
| Provider Name | Emily K Hurst |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215024765 PECOS PAC ID: 0749353894 Enrollment ID: I20080722000731 |
| Provider Name | Jahanzeb Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336353929 PECOS PAC ID: 3870675374 Enrollment ID: I20080821000110 |
| Provider Name | Gina C Valitutti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437367067 PECOS PAC ID: 9739247925 Enrollment ID: I20081016000199 |
| Provider Name | Kathleen a Korneli Gradowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033282520 PECOS PAC ID: 1951455690 Enrollment ID: I20090820000313 |
| Provider Name | Nessrine Ktaich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952535049 PECOS PAC ID: 1355488552 Enrollment ID: I20091020000706 |
| Provider Name | Rajinder S Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437327350 PECOS PAC ID: 0345389391 Enrollment ID: I20091203000617 |
| Provider Name | Zarna J Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508872110 PECOS PAC ID: 0648259572 Enrollment ID: I20091217000246 |
| Provider Name | Mandhir S Jamwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932302346 PECOS PAC ID: 5496942757 Enrollment ID: I20101213000526 |
| Provider Name | David a Minter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053524017 PECOS PAC ID: 8123206638 Enrollment ID: I20110706000182 |
| Provider Name | Jessica J Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700163672 PECOS PAC ID: 9537326251 Enrollment ID: I20120208000820 |
| Provider Name | Luke James Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972746105 PECOS PAC ID: 3971768029 Enrollment ID: I20120622000605 |
| Provider Name | Rubina M Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588903298 PECOS PAC ID: 9234374893 Enrollment ID: I20130402000285 |
| Provider Name | Maan Ekkah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962632042 PECOS PAC ID: 3678707593 Enrollment ID: I20131009000364 |
| Provider Name | Erin M Shaheen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629416474 PECOS PAC ID: 4385871938 Enrollment ID: I20131205001843 |
| Provider Name | George J Ghuneim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881034791 PECOS PAC ID: 9133363369 Enrollment ID: I20141119000931 |
| Provider Name | Samer S Aida |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699114926 PECOS PAC ID: 6103134499 Enrollment ID: I20151007000124 |
| Provider Name | Ahmad M Yasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598007510 PECOS PAC ID: 4587973318 Enrollment ID: I20160428000992 |
| Provider Name | Olessya V Mazurs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134670136 PECOS PAC ID: 3971882978 Enrollment ID: I20161115001932 |
| Provider Name | Deborah J Sperry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386179885 PECOS PAC ID: 2466729306 Enrollment ID: I20170525001578 |
| Provider Name | Hosam Hakim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619228483 PECOS PAC ID: 9830330141 Enrollment ID: I20170914002212 |
| Provider Name | Mohammad Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619394004 PECOS PAC ID: 3779892500 Enrollment ID: I20171005002314 |
| Provider Name | Ramdeep Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730664129 PECOS PAC ID: 2264770825 Enrollment ID: I20190207000124 |
| Provider Name | Astasia Goodenough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669940409 PECOS PAC ID: 9436497617 Enrollment ID: I20190213002119 |
| Provider Name | Monica Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215386552 PECOS PAC ID: 0547554032 Enrollment ID: I20190712002278 |
| Provider Name | Samantha Michelle Kaczmarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154968667 PECOS PAC ID: 4587098363 Enrollment ID: I20200103000109 |
| Provider Name | Zahra Alami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811425184 PECOS PAC ID: 1254603418 Enrollment ID: I20200317002197 |
| Provider Name | Claire Magill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922662972 PECOS PAC ID: 1658700869 Enrollment ID: I20200408003590 |
| Provider Name | Benjamin M Huber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750818308 PECOS PAC ID: 1355618729 Enrollment ID: I20200604002662 |
| Provider Name | Briahnnon Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598364911 PECOS PAC ID: 3779993233 Enrollment ID: I20201112000590 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20210512002176 |
| Provider Name | Hassan H Kassem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073017075 PECOS PAC ID: 3577984384 Enrollment ID: I20210701002898 |
| Provider Name | Melissa Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033883947 PECOS PAC ID: 3678978517 Enrollment ID: I20210816002898 |
| Provider Name | Kelly J Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336814490 PECOS PAC ID: 4082010806 Enrollment ID: I20210902001422 |
| Provider Name | Lauren E Rumbles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740871250 PECOS PAC ID: 9638567100 Enrollment ID: I20211102003335 |
| Provider Name | Maamoun Zane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669831509 PECOS PAC ID: 0749691384 Enrollment ID: I20220110000094 |
| Provider Name | Kevin J Ostler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114679925 PECOS PAC ID: 8527451574 Enrollment ID: I20220215001774 |
| Provider Name | Hnin Nu Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528547932 PECOS PAC ID: 5890038285 Enrollment ID: I20220526002802 |
| Provider Name | George Kardouss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780175687 PECOS PAC ID: 1951656446 Enrollment ID: I20220712003632 |
| Provider Name | Ayat Ghosn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134783251 PECOS PAC ID: 7719216282 Enrollment ID: I20220719000213 |
| Provider Name | Mohamed Ayman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679131957 PECOS PAC ID: 8123352085 Enrollment ID: I20221107002718 |
| Provider Name | Christos Deamont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740849249 PECOS PAC ID: 2961733670 Enrollment ID: I20230120002383 |
| Provider Name | Patric G Shamoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447875976 PECOS PAC ID: 3870918949 Enrollment ID: I20230624000165 |
| Provider Name | Ashraf Abouarabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831883446 PECOS PAC ID: 3678933132 Enrollment ID: I20230714002696 |
| Provider Name | Sydney Edinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801479738 PECOS PAC ID: 9032511795 Enrollment ID: I20231115003101 |
| Provider Name | Karthik S Ramaseshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023633559 PECOS PAC ID: 1456776525 Enrollment ID: I20240113000326 |
| Provider Name | Abed Naji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700647617 PECOS PAC ID: 1850734864 Enrollment ID: I20240207000351 |
| Provider Name | Karim Dirani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942943477 PECOS PAC ID: 4587005913 Enrollment ID: I20240515003896 |
| Provider Name | Omer Jameel Najem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043898570 PECOS PAC ID: 6901215045 Enrollment ID: I20240529002462 |
| Provider Name | Tripti Nagar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245818830 PECOS PAC ID: 3678974359 Enrollment ID: I20240613001920 |
| Provider Name | Mahmoud Zeidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124762596 PECOS PAC ID: 7113396953 Enrollment ID: I20240703002164 |
| Provider Name | Abrar Mohammed Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376110213 PECOS PAC ID: 6103365036 Enrollment ID: I20240823000661 |
| Provider Name | Hind N/a Abd Elgadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992386015 PECOS PAC ID: 5597135913 Enrollment ID: I20240829000721 |
| Provider Name | Mustafa H Bdiwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649850819 PECOS PAC ID: 7416356035 Enrollment ID: I20240924000955 |
| Provider Name | Karen Mary Meloche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811626229 PECOS PAC ID: 2466984448 Enrollment ID: I20241015003270 |
| Provider Name | Natalie Oltean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194543686 PECOS PAC ID: 9032642285 Enrollment ID: I20241028001284 |
| Provider Name | Anthony Frank Teta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619591138 PECOS PAC ID: 8820410368 Enrollment ID: I20241115000914 |
| Provider Name | Atheer R Hussain-amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326690504 PECOS PAC ID: 7012384779 Enrollment ID: I20241126003560 |
| Provider Name | Jalil Qari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639750748 PECOS PAC ID: 1759750599 Enrollment ID: I20250102001602 |
| Provider Name | Jason Michael Sharbaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710195888 PECOS PAC ID: 6204000540 Enrollment ID: I20250114000606 |
| Provider Name | Huseyin Sakib Karakilic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427793132 PECOS PAC ID: 0840791836 Enrollment ID: I20250830000260 |
| Provider Name | Mustafa Turkmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326782798 PECOS PAC ID: 5799154555 Enrollment ID: I20250930001265 |
| Provider Name | Andrea Lawassani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023957354 PECOS PAC ID: 2769959501 Enrollment ID: I20260429001657 |
| Provider Name | Mohamad-hamood Gomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083298012 PECOS PAC ID: 6800364654 Enrollment ID: I20260511000189 |
| Provider Name | Bashar Hammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639855570 PECOS PAC ID: 1052883543 Enrollment ID: I20260616002134 |
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 |
Impact Aco Billing Company LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 |
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 |