Individual provider Active NPI

Majed Nounou, M.D.

  • Cardiovascular Disease Physician
  • Lapeer, MI
National Provider Identifier
1043260342
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301091738 Issued in MI
Practice address
1075 Suncrest Dr
Suite C
Lapeer, MI 48446-4403
Phone
(810) 667-7333
Fax
(810) 660-8133
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301091738 MI
Cardiovascular Disease Physician 207RC0000X 4301091738 MI Primary

Addresses

Primary practice location

1075 Suncrest Dr
Suite C
Lapeer, MI 48446-4403

Mailing address

1075 Suncrest Dr
Suite C
Lapeer, MI 48446-4403
Phone (810) 667-7333

Other identifiers 3

IdentifierTypeStateIssuer
MI6406001OtherMIMEDICARE PTAN
4301091738OtherMIMI STATE LICENSE
0-558-587-2OtherECFMG

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
I20080611000847 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466523949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Institute of Mi PCGroup PAC ID 5597900936, 5 clinicians

Practice addresses (Care Compare)

1075 Suncrest Dr
Suite C
Lapeer, MI 48446-4403
Phone (810) 677-7333

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10
Varicose vein removal107
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: majed.nounou.1@5856.direct.athenahealth.com
  • Direct secure messaging: mnounou1143143@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLaren Lapeer RegionLapeer, MI, CCN 230193 Hospital Corporate Director Feb 14, 2024
McLaren Lapeer RegionLapeer, MI, CCN 23S193 Hospital Corporate Director Feb 14, 2024
McLaren Lapeer RegionLapeer, MI, CCN 235577 Skilled nursing facility Corporate Director
Trustee of the SNF
Feb 19, 2025
Feb 19, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043260342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SUNCREST DR",
            "address_2": "SUITE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464403",
            "telephone_number": "810-667-7333",
            "fax_number": "810-660-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SUNCREST DR",
            "address_2": "SUITE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464403",
            "telephone_number": "810-667-7333",
            "fax_number": "810-660-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUNOU",
        "first_name": "MAJED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091738",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301091738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI6406001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI STATE LICENSE",
            "identifier": "4301091738",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-558-587-2",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.