Individual provider Active NPI

Nesrine Akil, R.D

  • Registered Dietitian
  • Dearborn, MI
National Provider Identifier
1053861898
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1060573 Issued in MI
Practice address
5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-4212
Phone
(313) 914-5591
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1060573 MI Primary

Addresses

Primary practice location

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-4212

Mailing address

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-4212
Phone (313) 914-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122002027 MI Practitioner - Registered Dietitian Or Nutrition Professional 1759660319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alzohaili Medical Consultants MD PCGroup PAC ID 4981516564, 18 clinicians

Practice addresses (Care Compare)

5220 Oakman Blvd
Dearborn, MI 48126-3318
Phone (313) 203-5300

5250 Auto Club Dr
Dearborn, MI 48126-4212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alzohaili Medical Consultants MD PC CurrentSince Dec 1, 2016 Accepting new patients

Locations

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300

Interoperability endpoints

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

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, 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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1053861898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR",
            "address_2": "STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264212",
            "telephone_number": "313-914-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR",
            "address_2": "STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264212",
            "telephone_number": "313-914-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKIL",
        "first_name": "NESRINE",
        "credential": "R.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "1060573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.