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Heba Samra

Physician Assistant β€’ Jackson, MI

Active NPI 1558168062 Individual Practitioner Female Practitioner
Practice location in NPPES

1100 E Michigan Ave Ste 205
Jackson, MI 492011800

Call 5172057618 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 E Michigan Ave Ste 205

Jackson, MI 492011800

Telephone 5172057618
Fax 5172057639
Organization at the Same NPPES Address or Phone
Henr Y Ford Health System Facility NPI 1043930241

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dearborn, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Heba Samra has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Heba Samra as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

102 active clinicians are listed under Physician Assistant with a practice address in Jackson, MI (6,989 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

3.9% of these 102 clinicians have the CMS telehealth indicator.

73.5% of these 102 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES None 5601012948

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260403002609

Enrollment State Jurisdiction

MI

PECOS Control ID

9931674223

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

25201 Michigan Ave

Dearborn, MI 481241714

Phone: 3134386466

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Fadi Alali , MD

Internal Medicine - Gastroenterology

NPI 1104073022

Doctor of Medicine (M.D.)

Samuel Korican , PA-C

Physician Assistant

NPI 1114708609

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 30, 2026

Registered at 1100 E MICHIGAN AVE STE 205, JACKSON, MI 492011800 (Tel: 5172057618)

πŸ“
Updated Business Mailing Address March 30, 2026

Registered at 1 FORD PL STE 3A, DETROIT, MI 482023450 (Tel: 3138744806)

βœ…
NPI Profile Active March 03, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2025

Registered at 25201 MICHIGAN AVE, DEARBORN, MI 481241714 (Tel: 3134386466)

πŸ“
Business Mailing Address (Initial Record) March 03, 2025

Registered at 25201 MICHIGAN AVE, DEARBORN, MI 481241714

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2025

Recorded as HEBA SAMRA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Physician Assistant (license number reported to NPPES: None 5601012948)

🟒
Initial NPI Registration & Enumeration March 03, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558168062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2025
Last Update: March 30, 2026
Sole Proprietor: Yes

Other Physician Assistants in Jackson

All Physician Assistants in Jackson

Mailing Address

1 Ford Pl Ste 3a

Detroit, MI 482023450

Phone: 3138744806

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.