SAMUEL T. FAWAZ (MD) – Internal Medicine Physician, NPI 1295945996
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for SAMUEL T. FAWAZ (MD)
24 FRANK LLOYD WRIGHT DRIVE
J2000
ANN ARBOR, MI 48105
Phone: (734) 747-6766
Fax: (734) 222-3100
Type: Mailing
TRINITY HEALTH IHA MEDICAL GROUP PRIMARY CARE FREEDOM
20206 FARMINGTON RD
LIVONIA, MI 48152
Phone: (248) 476-4724
Fax: (248) 476-7091
Type: Location
3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone: (248) 898-7999
Fax: (248) 898-0580
Type: Location
17392 W 13 Mile Rd
Beaumont Beverly Hills Internal Medicine
Beverly Hills, MI 480255438
Phone: (248) 646-8166
Fax: (248) 646-8176
Type: Location
130, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States
203
TROY, MI 480841744
Phone:
Type: Mailing
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 48073
Phone: (248) 898-7999
Fax: (248) 898-0580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $807.
Total Amount is formed as General ($807) + Research ($0) + Ownership ($0) = $807.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: ABBVIE INC. ($138).
Total Amount
$807
General + Research + Ownership
Payments
40
Total payment records
General Amount
$807
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $138 |
| IDORSIA PHARMACEUTICALS US INC | $113 |
| Novo Nordisk Inc | $101 |
| Lilly USA, LLC | $99 |
| GlaxoSmithKline, LLC. | $68 |
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: 2021-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070810000172 | I | Internal Medicine | MI | TBD |
| I20210901000969 | I | Internal Medicine | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 154 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 91 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 38 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 48105)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 83036 | Hemoglobin A1C level | 58 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice, Sports Medicine | VA | |
| Family Practice, Obstetrics/Gynecology | MI |
Reviews
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