Individual provider Active NPI

Houda Mahmoud, NP

  • Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1194328534
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704275483 Issued in MI
Practice address
7542 Wyoming St
Dearborn, MI 48126-1690
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704275483 MI Primary

Addresses

Primary practice location

7542 Wyoming St
Dearborn, MI 48126-1690

Mailing address

7542 Wyoming Ave
Dearborn, MI 48126-1690
Phone (313) 415-1515

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
I20230110000538 MI Practitioner - Nurse Practitioner 8123430725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Hazimeh Primary Care PLLCGroup PAC ID 1557775756, 2 clinicians
Ali Hazimeh PLLCGroup PAC ID 2062846876, 7 clinicians

Practice addresses (Care Compare)

7534 Wyoming St
Dearborn, MI 48126-1690
Phone (313) 415-1515

7542 Wyoming St
Dearborn, MI 48126-1690
Phone (313) 676-2149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Hazimeh PLLC CurrentSince Jul 30, 2023 Accepting new patients
Hazimeh Primary Care PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

7534 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

7542 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

17751 E Warren Ave
Ste B
Detroit, MI 48224
Phone (313) 885-1118

9800 Conant St
Ste A
Hamtramck, MI 48212
Phone (313) 285-8728

1651 S Venoy Rd
Ste B
Westland, MI 48186
Phone (313) 663-9000

Interoperability endpoints

  • Direct secure messaging: houda.mahmoud.1@32709.direct.athenahealth.com

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1194328534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 WYOMING AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261690",
            "telephone_number": "313-415-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 WYOMING ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "HOUDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704275483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.