Active NPI
Alyssa Ahmad
- Medical Physician Assistant
- Farmington Hills, MI
National Provider Identifier
1053014498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601011696
- Practice address
- 29994 Northwestern Hwy Ste F
Farmington Hills, MI 48334-3225 - Phone
- (248) 855-2280
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601011696 | MI | Primary |
Addresses
Primary practice location
29994 Northwestern Hwy Ste F
Farmington Hills, MI 48334-3225
Mailing address
29994 Northwestern Hwy Ste F
Farmington Hills, MI 48334-3225
Phone (248) 855-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- aahmad1159223@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1053014498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29994 NORTHWESTERN HWY STE F",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343225",
"telephone_number": "248-855-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29994 NORTHWESTERN HWY STE F",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343225",
"telephone_number": "248-855-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601011696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.