Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Homam Moussa Pacha

Individual provider Interventional Cardiology Physician · NPI 1275995425

Homam Moussa Pacha is a Cardiovascular Disease (Cardiology) in Detroit, Michigan. Qualified in 2013, 13 years ago. Practices with Lakeside Heart and Vascular Center PLLC, a 19-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153
Phone: (313) 745-5146
Fax: (313) 745-5146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2082 Mesquite Ave Ste 100a, Lake Havasu City, AZ 86403-6710 — (928) 453-2727
  • 110 Irving St Nw, Washington, DC 20010-3017 — (202) 877-8278
  • 6410 Fannin St Ste 600, Houston, TX 77030 — (832) 325-7211

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 67883 (AZ)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 67883 (AZ)

Record details

NPI number1275995425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2016
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lakeside Heart And Vascular Center Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Detroit