Individual provider Active NPI

Fatime Jaafar, NP

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1003498759
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704288200 Issued in MI
Practice address
6500 Schaefer Rd
Dearborn, MI 48126-1813
Phone
(313) 584-7900
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704288200 MI
Acute Care Nurse Practitioner 363LA2100X 4704288200 MI
Family Nurse Practitioner 363LF0000X 4704288200 MI Primary

Addresses

Primary practice location

6500 Schaefer Rd
Dearborn, MI 48126-1813

Mailing address

20424 Brookwood St
Dearborn Heights, MI 48127-2756
Phone (313) 585-0194

Other practice location 1

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024000233 MI Practitioner - Nurse Practitioner 7315313988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkley Urgent Care PLLCGroup PAC ID 7315167632, 8 clinicians

Practice addresses (Care Compare)

3270 Greenfield Rd
Berkley, MI 48072-1161
Phone (248) 268-1525

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkley Urgent Care PLLC CurrentSince Jan 23, 2025 Accepting new patients
Express Health Urgent Care PLLC CurrentSince Jan 23, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 6, 2025 Accepting new patients
Center Street Pharmacy PLLC PastSince Jul 9, 2025 Accepting new patients

Locations

3270 Greenfield Rd
Berkley, MI 48072
Phone (248) 268-1525

26400 Plymouth Rd
Redford, MI 48239
Phone (313) 543-3300

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIIIAD/Endpoint/HIIIAD

Organizations & group practices 4

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1003498759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20424 BROOKWOOD ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272756",
            "telephone_number": "313-585-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261813",
            "telephone_number": "313-584-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-849-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAAFAR",
        "first_name": "FATIME",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704288200",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704288200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704288200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.