Jaafer Beydoun

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704282698 Issued in MI

Practice address

17515 W 9 Mile Rd Ste 740
Southfield, MI 48075-4413

Phone

(248) 353-2222

Fax

(248) 262-3333

NPI assigned

Mar 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JBNP Services, LLCGroup PAC ID 9436589918, 2 clinicians

Specialty Medical Center IncGroup PAC ID 8820469380, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/DFAHDD/Endpoint/DFAHDD

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.

• JBNP Services, LLC

  • Adult Health Nurse Practitioner
  • Livonia, MI
  • NPI 1023637766

  Acute Care

  Medicare reassignment Care Compare group NPD Authorized official
• Specialty Medical Center Inc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Dearborn, MI
  • NPI 1285341537
  Medicare reassignment Care Compare group NPD
• Macomb Pain Management

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Shelby Township, MI
  • NPI 1134864770
  Medicare reassignment NPD
• Mid-Michigan Pain Management Center, PLC

  • Pain Clinic/Center
  • Flint, MI
  • NPI 1548410798
  Medicare reassignment NPD
• Sumpter Medical Care PLLC

  • Family Medicine Physician
  • Belleville, MI
  • NPI 1114889888
  Medicare reassignment NPD
• Sumpter Medical Group PLLC

  • Family Medicine Physician
  • Belleville, MI
  • NPI 1508728262
  Medicare reassignment NPD
• JBNP Services, LLC

  • Home Health Agency
  • Livonia, MI
  • NPI 1447038740
  NPD Authorized official
• Sumpter Medical Care PLLC

  • Family Medicine Physician
  • Belleville, MI
  • NPI 1467314229
  NPD
• Specialty Medical Center Inc

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1366126559
  NPD (past)

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

• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1083172878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 740",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754413",
            "telephone_number": "248-353-2222",
            "fax_number": "248-262-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 740",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754413",
            "telephone_number": "248-353-2222",
            "fax_number": "248-262-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43401 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483131961",
            "country_code": "US",
            "telephone_number": "586-488-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38221 Plymouth Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501051",
            "country_code": "US",
            "telephone_number": "734-221-0236",
            "fax_number": "734-293-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 S Saginaw St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422227",
            "country_code": "US",
            "telephone_number": "248-771-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6245 Inkster Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481354001",
            "country_code": "US",
            "telephone_number": "313-572-0810",
            "fax_number": "313-572-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13530 Michigan Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263575",
            "country_code": "US",
            "telephone_number": "313-572-0810",
            "fax_number": "313-572-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5456 15 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483105110",
            "country_code": "US",
            "telephone_number": "586-666-2407",
            "fax_number": "313-572-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27789 Mound Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480922697",
            "country_code": "US",
            "telephone_number": "602-763-3273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17515 W 9 Mile Rd Ste 935",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754406",
            "country_code": "US",
            "telephone_number": "248-234-4972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "JAAFER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704282698",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704282698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Betz
• Desiree Beveridge
• Leahnae Beverly-Werkema
• Ali Samir Beydoun, DDS
• Aya Beydoun
• Julie Bezinque
• Ann Marie Bhat, NP
• Kamaljeet Bhatia, MD
• Shweta Bhatia
• Anant B Bhogaonker, MD

• Adult Health Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.