Pathology Specialists of Southeast Michigan PC
NPI 1023100500 · Anatomic Pathology & Clinical Pathology Physician · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pathology Specialists of Southeast Michigan PC is a Anatomic Pathology & Clinical Pathology Physician organization in Detroit, MI (NPI 1023100500).
Provider details
- NPI number
- 1023100500
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Basim Al-Khafaji, President(313) 343-3521
- License
- 403788 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is Pathology Specialists of Southeast Michigan PC's NPI number?
- Pathology Specialists of Southeast Michigan PC's National Provider Identifier (NPI) is 1023100500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pathology Specialists of Southeast Michigan PC?
- Pathology Specialists of Southeast Michigan PC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Pathology Specialists of Southeast Michigan PC located?
- Pathology Specialists of Southeast Michigan PC's practice location on file with NPPES is 22101 Moross Rd, Detroit, MI 48236-2148.
- What is Pathology Specialists of Southeast Michigan PC's phone number?
- The practice phone number listed in the NPPES registry for Pathology Specialists of Southeast Michigan PC is (800) 288-8325.
- Does Pathology Specialists of Southeast Michigan PC accept Medicare?
- Pathology Specialists of Southeast Michigan PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pathology Specialists of Southeast Michigan PC?
- The authorized official listed on Pathology Specialists of Southeast Michigan PC's NPPES record is Basim Al-Khafaji, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pathology Specialists of Southeast Michigan PC's NPI active?
- Yes — Pathology Specialists of Southeast Michigan PC's NPI (1023100500) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.