Active NPI
Luma Beydoun, FNP
- Family Nurse Practitioner
- Dearborn Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704295099
- Practice address
- 27155 Cherry Hill Road
Dearborn Heights, MI 48127 - Phone
- (313) 749-1178
- Fax
- (313) 733-2029
- NPI assigned
- Jul 11, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704295099 | MI | Primary |
Addresses
Primary practice location
27155 Cherry Hill Road
Dearborn Heights, MI 48127
Mailing address
30 W Monroe St FL 12
Chicago, IL 60603-2495
Phone (312) 733-9730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704295099 | Other | MI | RN LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18610 Fenkell St
Detroit, MI 48223-2378
Phone (313) 723-6000
Hospital & facility affiliations
- Corewell Health Wayne Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family | Past | Accepting new patients |
Locations
18610 Fenkell St
Detroit, MI 48223
Phone (313) 723-6000
27155 Cherry Hill Rd
Inkster, MI 48141
Phone (313) 749-1178
Interoperability endpoints
- lbeydoun413810@direct.hfhs.org
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1720635790
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1114449295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MONROE ST FL 12",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606032495",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27155 CHERRY HILL ROAD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "48127",
"telephone_number": "313-749-1178",
"fax_number": "313-733-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYDOUN",
"first_name": "LUMA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704295099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "4704295099",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.