Individual provider Active NPI

Aafia Mohammed Farooq Gheewale

  • Student in an Organized Health Care Education/Training Program
  • Brighton, MI
National Provider Identifier
1124879416
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7575 Grand River Rd Ste 209
Brighton, MI 48114-9379
Phone
(810) 844-7950
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

7575 Grand River Rd Ste 209
Brighton, MI 48114-9379

Mailing address

5233 Linden Rd Apt 8316
Rockford, IL 61109-6408
Phone (734) 450-3029

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106003929 MI Order and Referring Only - Family PracticePractitioner - Family Practice 7618401159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: agheewale3348102@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1124879416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 LINDEN RD APT 8316",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611096408",
            "telephone_number": "734-450-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER RD STE 209",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149379",
            "telephone_number": "810-844-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEEWALE",
        "first_name": "AAFIA",
        "middle_name": "MOHAMMED FAROOQ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.