Individual provider Active NPI

Lina Rayes Yousif, D.O.

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1003252230
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020497 Issued in MI
Practice address
15400 19 Mile Rd
Suite 150
Clinton Township, MI 48038-6327
Phone
(586) 263-3400
Fax
(586) 412-3670
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020497 MI Primary

Addresses

Primary practice location

15400 19 Mile Rd
Suite 150
Clinton Township, MI 48038-6327

Mailing address

15400 19 Mile Rd
Suite 150
Clinton Township, MI 48038-6327
Phone (586) 263-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419001324 MI Practitioner - Family Practice 1355647975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15400 19 Mile Rd
Suite 150
Clinton Township, MI 48038-6328
Phone (586) 263-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020497MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 1, 2016 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

15400 19 Mile Rd
Clinton Township, MI 48038
Phone (586) 228-7865

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15400 19 Mile Rd
Ste 150
Clinton Twp, MI 48038
Phone (586) 263-3400

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

Interoperability endpoints

  • Direct secure messaging: lyousif420835@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1003252230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 19 MILE RD",
            "address_2": "SUITE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386327",
            "telephone_number": "586-263-3400",
            "fax_number": "586-412-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 19 MILE RD",
            "address_2": "SUITE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386327",
            "telephone_number": "586-263-3400",
            "fax_number": "586-412-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYES YOUSIF",
        "first_name": "LINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.