DR. SARAH GAMMOUH (M.D.) – Family Medicine Physician, NPI 1073961884

DR. SARAH GAMMOUH (M.D.) is a healthcare provider. based in Saint clair shores, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301109650 (MI). The NPI Number for DR. SARAH GAMMOUH (M.D.) is 1073961884

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARAH GAMMOUH (M.D.)
NPI
1073961884
Phone
(586) 498-4400
Address
21400 E 11 MILE RD
Enumeration Date
2 June 2016
Last Update Date
17 March 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9475233000
Graduation Year
2016 (10 years ago)
PAC ID
7618255043
Group Practice PAC ID
1850282914
Professional Enrollment ID
I20190318000686
Address ID
MI480514009CH50630RDXX300
Telehealth
Yes

Contacts

Secure Messaging
sgammouth105370@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. SARAH GAMMOUH (M.D.)

  • 21400 E 11 MILE RD

    SAINT CLAIR SHORES, MI 480811566

    Phone: (586) 498-4400

    Type: Location

  • 50630 CHESTERFIELD RD

    CHESTERFIELD, MI 480514009

    Phone: (947) 523-3000

    Fax: (947) 523-3005

    Type: Location

  • 26901 BEAUMONT BLVD

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1867

    Fax: (947) 522-0307

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-03-18

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
I20190318000686IFamily 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 minutes9547$0
36415Insertion of needle into vein for collection of blood sample5342$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99213Established patient office or other outpatient visit, 20-29 minutes4125$0
81003Automated urinalysis test1913$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

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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: 1850282914View full group profile

Reviews

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Frequently asked questions

What is DR. SARAH GAMMOUH (M.D.)'s NPI number?
DR. SARAH GAMMOUH (M.D.)'s NPI is 1073961884 — the number used across U.S. healthcare to identify this provider.
Is DR. SARAH GAMMOUH (M.D.) still an active registrant?
DR. SARAH GAMMOUH (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. SARAH GAMMOUH (M.D.)?
DR. SARAH GAMMOUH (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. SARAH GAMMOUH (M.D.) registered?
Use Saint Clair Shores, Michigan as the headline location for DR. SARAH GAMMOUH (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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