Individual provider Active NPI

Khalil Mustapha Hamadi, FNP-C

  • Family Nurse Practitioner
  • Commerce Township, MI
National Provider Identifier
1184445132
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704317741 Issued in MI
Practice address
39450 W 14 Mile Rd
Commerce Township, MI 48390-3907
Phone
(248) 864-0010
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704317741 MI Primary

Addresses

Primary practice location

39450 W 14 Mile Rd
Commerce Township, MI 48390-3907

Mailing address

6131 N Elizabeth St
Dearborn Heights, MI 48127-2314
Phone (313) 467-2243

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122003897 MI Practitioner - Nurse Practitioner 7517492812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians
Mike Eldirani MD PLCGroup PAC ID 9032549506, 3 clinicians
Care Family Medicine Center PLLCGroup PAC ID 8729475207, 6 clinicians

Practice addresses (Care Compare)

18930 W Rd
Beaumont Urgent Care of Michigan
Woodhaven, MI 48183-3317
Phone (734) 671-4900

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

25325 Ford Rd
Suite 200
Dearborn, MI 48128-1086
Phone (313) 887-7774

39450 W 14 Mile Rd
Commerce Township, MI 48390-3907
Phone (248) 864-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Family Medicine Center PLLC CurrentSince Oct 1, 2024 Accepting new patients
Mike Eldirani MD PLC CurrentSince May 1, 2025 Accepting new patients
Life Medical Center Urgent Care PLC CurrentSince May 1, 2025 Accepting new patients
Saleh Family Medicine PLLC CurrentSince May 18, 2025 Accepting new patients

Locations

39450 W 14 Mile Rd
Commerce Township, MI 48390
Phone (248) 301-9662

25325 Ford Rd
Ste B
Dearborn, MI 48128
Phone (313) 887-7774

25325 Ford Rd
Ste 200
Dearborn, MI 48128
Phone (313) 887-7774

25325 Ford Rd
Dearborn, MI 48128
Phone (313) 724-0584

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1184445132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 N ELIZABETH ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272314",
            "telephone_number": "313-467-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39450 W 14 MILE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903907",
            "telephone_number": "248-864-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADI",
        "first_name": "KHALIL",
        "middle_name": "MUSTAPHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.