Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699798249 Individual Practitioner Female Practitioner

Dr. Souha S Hakim , MD

Pediatrics • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Souha Hakim, MD is a registered healthcare professional specializing in Pediatrics in Jackson, MI. Practice services are available at 1418 E MICHIGAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1418 E Michigan Ave

Jackson, MI 492023518

Telephone 5177831779
Fax 5177831899
Associated Practice Facility / Clinic
🏢 Edward C Robles Md Pllc Facility NPI 1649469305

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Jackson, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301068721

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License MI 4301068721

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1044997-10 (MI)
Commercial Insurance / Payer ID Blue Cross Blue Shield
03810061 (MI)
Commercial Insurance / Payer ID Blue Care Network
03810061 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Emily Mattea , DNP

Nurse Practitioner - Pediatrics

NPI 1528846698

Doctor of Nursing Practice

Denise Cross , CHW

Community Health Worker

NPI 1891617379

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1418 E MICHIGAN AVE, JACKSON, MI 492023518 (Tel: 5177831779)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1418 E MICHIGAN AVE, JACKSON, MI 492023518 (Tel: 5177831779)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SOUHA HAKIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #4301068721 in MI)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699798249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: January 18, 2021
Sole Proprietor: Yes

Mailing Address

1418 E Michigan Ave

Jackson, MI 492023518

Phone: 5177831779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.