Individual provider Active NPI

Noura Ayyad

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1154182624
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704379174 Issued in MI
Practice address
6548 Miller Rd
Dearborn, MI 48126-1916
Phone
(313) 367-8242
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704379174 MI
Family Nurse Practitioner 363LF0000X 4704379174 FL
Family Nurse Practitioner 363LF0000X 4704379174 MI Primary

Addresses

Primary practice location

6548 Miller Rd
Dearborn, MI 48126-1916

Mailing address

6548 Miller Rd
Dearborn, MI 48126-1916
Phone (313) 367-8242

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
I20260331001133 MI Practitioner - Family Practice 9537644299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Mi PLLCGroup PAC ID 6002332012, 13 clinicians

Practice addresses (Care Compare)

2567 W Grand Blvd
Detroit, MI 48208-1235
Phone (313) 895-5340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704379174MIMDRegistered Nurse
4704379174FLMDFamily Nurse Practitioner

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1154182624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 MILLER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261916",
            "telephone_number": "313-367-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 MILLER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261916",
            "telephone_number": "313-367-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYYAD",
        "first_name": "NOURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704379174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "4704379174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704379174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.