Madalyn J Axford, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023204942 Issued in MI

Practice address

13430 E 13 Mile Rd
Warren, MI 48088-3187

Phone

(248) 854-8999

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

No

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

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Michigan Infectious Disease Associates, PC

  • Infectious Disease Physician
  • Warren, MI
  • NPI 1336346030
  Medicare reassignment NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1245000694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57871 ABRAHAM DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942957",
            "telephone_number": "586-337-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883187",
            "telephone_number": "248-854-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXFORD",
        "first_name": "MADALYN",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2023204942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maher Kassem Awada, RPH
• Sam H Awada, MD
• Samuel Awada, RPH
• Hamdah W Awan
• Kenneth Axelrad, PH.D.
• Salonas Rafael Ayad
• Kanwal Ayaz, MD
• Talisha Ayers
• Hiba Azam
• Manha Azam

• Family Nurse Practitioner in Warren, MI
• Providers in Warren, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.