Victoria Kathleen Helen Fawaz, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704295277 Issued in MI

Practice address

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610

Phone

(313) 640-1000

NPI assigned

Feb 21, 2022

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Victoria Kathleen Helen Ziraldo Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vziraldo362702@direct.hfhs.org

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

• Henry Ford Health System

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1104900455

  Family

  Medicare reassignment Care Compare group NPD
• Canton Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Canton, MI
  • NPI 1649712480
  Medicare reassignment NPD
• Chesterfield Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Chesterfield, MI
  • NPI 1629547195
  Medicare reassignment NPD
• Clinton Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1831610070
  Medicare reassignment NPD
• Commerce Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Commerce TWP, MI
  • NPI 1952823825
  Medicare reassignment NPD
• Doctors Urgent Care Sterling Heights West

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1992464697
  Medicare reassignment NPD
• Doctors Urgent Care Troy West PC

  • Urgent Care Clinic/Center
  • Troy, MI
  • NPI 1790428423
  Medicare reassignment NPD
• Farmington Hills Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Farmington Hills, MI
  • NPI 1144956350
  Medicare reassignment NPD
• Rochester Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Rochester Hills, MI
  • NPI 1225554694
  Medicare reassignment NPD
• Shelby Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Shelby TWP, MI
  • NPI 1285155119
  Medicare reassignment NPD
• Sterling Heights Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1912413949
  Medicare reassignment NPD
• Taylor Urgent Care PC

  • Urgent Care Clinic/Center
  • Taylor, MI
  • NPI 1013321033
  Medicare reassignment NPD

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

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1023763828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37150 MALLORY DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541175",
            "telephone_number": "313-588-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 KERCHEVAL AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363610",
            "telephone_number": "313-640-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWAZ",
        "first_name": "VICTORIA",
        "middle_name": "KATHLEEN HELEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704295277NSA200VH",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704295277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ZIRALDO",
            "middle_name": "KATHLEEN HELEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Demetrius Edwin Ford, LP, PHD
• Kelly Gaffney

• Family Nurse Practitioner in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.