Active NPI
Entaser Hamood
- Physician Assistant
- Dearborn, MI
National Provider Identifier
1144997826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010665
- Practice address
- 7742 Schaefer Rd
Dearborn, MI 48126-1159 - Phone
- (313) 429-3195
- Fax
- (313) 484-2255
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010665 | MI | Primary |
Addresses
Primary practice location
7742 Schaefer Rd
Dearborn, MI 48126-1159
Mailing address
20290 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 987-1250
Other practice location 1
20290 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 987-1250
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010665 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1144997826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20290 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522002",
"telephone_number": "248-987-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7742 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261159",
"telephone_number": "313-429-3195",
"fax_number": "313-484-2255"
}
],
"practiceLocations": [
{
"address_1": "20290 Middlebelt Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481522002",
"country_code": "US",
"telephone_number": "248-987-1250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMOOD",
"first_name": "ENTASER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010665",
"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 Sep 21, 2023; 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.