Individual provider Active NPI

Eman Ayed Abusalah, FNP-C

  • Family Nurse Practitioner
  • Dearborn Heights, MI
National Provider Identifier
1043915812
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18250110904 Issued in MI
Practice address
23850 Van Born Rd
Dearborn Heights, MI 48125-2325
Phone
(313) 278-7750
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18250110904 MI Primary

Addresses

Primary practice location

23850 Van Born Rd
Dearborn Heights, MI 48125-2325

Mailing address

23850 Van Born Rd
Dearborn Heights, MI 48125-2325
Phone (313) 278-7750

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
I20230411002488 MI Practitioner - Nurse Practitioner 3779958475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18250110904MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fuad Rahimee MD PC CurrentSince Apr 3, 2023 Accepting new patients
Baco Care Services LLC CurrentSince Mar 7, 2025 Accepting new patients
AMC Primary Care & Consultants PLLC Past Accepting new patients

Locations

23850 Van Born Rd
Dearborn Hts, MI 48125
Phone (313) 278-7750

26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494

Interoperability endpoints

  • Direct secure messaging: eman.abusalah.1@25375.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1043915812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-278-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-278-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSALAH",
        "first_name": "EMAN",
        "middle_name": "AYED",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "18250110904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.