Active NPI
Khalil Mustapha Hamadi, FNP-C
- Family Nurse Practitioner
- Commerce Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704317741
- 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, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Family Medicine Center PLLC | Current | Accepting new patients | |
| Mike Eldirani MD PLC | Current | Accepting new patients | |
| Life Medical Center Urgent Care PLC | Current | Accepting new patients | |
| Saleh Family Medicine PLLC | Current | 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.
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Commerce Township, MI
- NPI 1083358782
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1710736277
-
dba Corewell Health Urgent Care
- Urgent Care Clinic/Center
- West Bloomfield, MI
- NPI 1578048096
-
- Family Medicine Physician
- Commerce TWP, MI
- NPI 1669263612
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.