Individual provider Active NPI

Abraham Hmeidan

  • Emergency Medicine Physician
  • Wyandotte, MI
National Provider Identifier
1225550312
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5601008455 Issued in MI
Practice address
1768 Ford Ave
Wyandotte, MI 48192-2306
Phone
(734) 299-0712
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA059589 PA
Emergency Medicine Physician 207P00000X 5601008455 MI Primary

Addresses

Primary practice location

1768 Ford Ave
Wyandotte, MI 48192-2306

Mailing address

1768 Ford Ave Ste a
Wyandotte, MI 48192-2306
Phone (734) 299-0712

Other practice location 1

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 552-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180628001482 MI Practitioner - Physician Assistant 0941560510 Reassigns benefits to 9 organizations
I20191016000589 IN Practitioner - Physician Assistant 0941560510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Urgent Care PLLCGroup PAC ID 9234538901, 5 clinicians
Blue Water Urgent Care PLLCGroup PAC ID 8123427895, 22 clinicians
Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians
Southshore Urgent Care PLLCGroup PAC ID 5698009777, 14 clinicians

Practice addresses (Care Compare)

1407 E Michigan Ave
Jackson, MI 49202-3517
Phone (517) 888-6348

1600 Gratiot Blvd
Marysville, MI 48040-1145
Phone (810) 676-3360

1612 10TH Ave
Port Huron, MI 48060-3303
Phone (810) 660-0242

1768 Ford Ave
Wyandotte, MI 48192-2306
Phone (313) 377-5758

20789 Gibraltar Rd
Brownstown TWP, MI 48183-5087
Phone (734) 444-2961

2700 Pointe Tremble Rd
Algonac, MI 48001-1836
Phone (810) 662-2827

35284 23 Mile Rd
New Baltimore, MI 48047-2096
Phone (586) 335-3573

3941 24TH Ave
Fort Gratiot, MI 48059-4102
Phone (810) 882-9373

Hospital & facility affiliations

  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 16, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 16, 2022 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Locations

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530

Organizations & group practices 14

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.

View all 14

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1225550312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 FORD AVE STE A",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "734-299-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "734-299-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 N River St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187640999",
            "country_code": "US",
            "telephone_number": "570-552-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HMEIDAN",
        "first_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MA059589",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5601008455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.