Jaber Mawiri, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007753 Issued in MI

Practice address

5402 Bingham St
Dearborn, MI 48126-3306

Phone

(313) 258-1803

NPI assigned

May 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Abdulhadi Sinan MD PC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1215102587
  Medicare reassignment
• Melvindale Family Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Melvindale, MI
  • NPI 1730622853
  Medicare reassignment
• Premier Medicine PC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1376623736
  Medicare reassignment

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1174970693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 BINGHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263306",
            "telephone_number": "313-258-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 BINGHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263306",
            "telephone_number": "313-258-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWIRI",
        "first_name": "JABER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maverick One Inc
• Adhem Mawari
• Bederadine Mawari
• Ruwa Mawari, FNP-C
• Tamana Mawari, IBCLC
• Aman Mawri
• Baraka Mawri
• Dustin Daniel Maxam
• Shari L. Maxwell, M.D.
• Amanda May, LMSW

• Physician Assistant in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.

Verify at the official NPI Registry.