Dima Elhorr, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4100 Woodward Ave
Detroit, MI 48201-2173

Phone

(313) 974-6533

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Detroit Medical Consultants PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1609229848
  Medicare reassignment
• Mdslivenow PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1215688965
  Medicare reassignment
• University of Detroit Mercy

  • General Practice Physician
  • Detroit, MI
  • NPI 1669187696
  NPD (past)

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1194448183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012173",
            "telephone_number": "313-974-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012173",
            "telephone_number": "313-974-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482213038",
            "country_code": "US",
            "telephone_number": "313-993-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3990 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-745-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELHORR",
        "first_name": "DIMA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saleh Mohamad Elhajomar
• Rana Elhamzawy, MD
• Norma Saab Elhasan, PHARMD
• Elwaleed Elhassan, MD MBBS FACP
• Maha E Elhassan, MBBS
• Princess Elhosary, DMD
• Mohamed Osman Mirghani Elhussain, MD
• Sabrina Elia
• Nicholas Elias, DO
• Stanton B. Elias, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.