HAITHAM MASRI (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1629247481

HAITHAM MASRI (MD) is a healthcare provider. based in Dearborn, Michigan. specializing in Otolaryngology/Facial Plastic Surgery Physician. They hold the professional credentials MD. They hold a License No. HM052487 (MI). The NPI Number for HAITHAM MASRI (MD) is 1629247481

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
HAITHAM MASRI (MD)
NPI
1629247481
Phone
(313) 945-9800
Address
13530 MICHIGAN AVE
Enumeration Date
26 February 2008
Last Update Date
17 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139459800
Graduation Year
1979 (47 years ago)
PAC ID
1355350216
Group Practice PAC ID
2466644497
Professional Enrollment ID
I20060421000043
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for HAITHAM MASRI (MD)

  • Michigan Avenue, Dearborn, Wayne County, Michigan, 481241, United States

    SUITE 150

    DEARBORN, MI 481263574

    Phone: (313) 945-9800

    Fax: (313) 945-9184

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Inari Medical, Inc. ($189).

Total Amount

$291

General + Research + Ownership

Payments

13

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$189
ABBVIE INC.$102
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: 2006-04-21

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
I20060421000043IOtolaryngologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48126)

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Provider's Procedures

HAITHAM MASRI (MD) performs procedures in Otolaryngology/Facial Plastic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYMI92567Eardrum testing using ear probe7974
OTOLARYNGOLOGYMI95117Injection of incremental dosages of allergen, 2 or more injections12215

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: 2466644497View full group profile

Reviews

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Frequently asked questions

What federal number belongs to HAITHAM MASRI (MD)?
The federal identifier for HAITHAM MASRI (MD) is NPI 1629247481.
Does this profile mean HAITHAM MASRI (MD) is currently active?
Yes — HAITHAM MASRI (MD) appears active in the national provider directory.
What does HAITHAM MASRI (MD) treat or focus on?
Patients typically see HAITHAM MASRI (MD) under the specialty Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for HAITHAM MASRI (MD)?
We surface Dearborn, Michigan for HAITHAM MASRI (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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