MOHAMED EL FAKIY (MD) – Family Medicine Physician, NPI 1073139788

MOHAMED EL FAKIY (MD) is a healthcare provider. based in Jackson, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301508444 (MI). The NPI Number for MOHAMED EL FAKIY (MD) is 1073139788

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMED EL FAKIY (MD)
NPI
1073139788
Phone
(816) 394-6643
Address
205 N EAST AVE
Enumeration Date
18 June 2020
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485362127
Graduation Year
2019 (7 years ago)
PAC ID
8628491511
Group Practice PAC ID
3173961372
Professional Enrollment ID
I20230504002023
Address ID
MI492011753JA205XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for MOHAMED EL FAKIY (MD)

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone: (816) 394-6643

    Type: Mailing

  • 130 N Sherman St

    Leslie, MI 492519409

    Phone: (517) 205-2500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Blueprint Medicines Corporation ($25).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230504002023IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8555$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173961372View full group profile
NameSpecialtyState
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerOH
Internal Medicine, HospitalistMI
Internal Medicine, Emergency MedicineMI
Internal MedicineMI
Nurse PractitionerMI
Internal Medicine, Emergency MedicineMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MOHAMED EL FAKIY (MD)?
MOHAMED EL FAKIY (MD) — NPI 1073139788 — is the standard way to identify this listing.
Does CMS list MOHAMED EL FAKIY (MD) as active?
Yes — MOHAMED EL FAKIY (MD) is active in the NPI listing used on this page.
What is MOHAMED EL FAKIY (MD)'s primary classification?
Family Medicine Physician is the headline specialty for MOHAMED EL FAKIY (MD) here. Clinical services aligned with this taxonomy classification.
Where is MOHAMED EL FAKIY (MD) based?
MOHAMED EL FAKIY (MD) is tied to Jackson, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about MOHAMED EL FAKIY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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