Organization Active NPI

Hussein Ajrouche, M.D., P.C.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1245533967
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301083964 Issued in MI
Legal business name
HUSSEIN AJROUCHE, M.D., P.C.
Practice address
12740 W Warren Ave Ste 200
Dearborn, MI 48126-4530
Phone
(313) 291-6694
Fax
(313) 291-6694
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Nancy Molnar
Title
Office Manager
Phone
(313) 291-6694

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301083964 MI Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 4301083964 MI

Addresses

Primary practice location

12740 W Warren Ave Ste 200
Dearborn, MI 48126-4530

Mailing address

12740 W Warren Ave Ste 200
Dearborn, MI 48126-4530
Phone (313) 291-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405001182 MI Part B Supplier - Clinic/Group Practice 7618151200 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1245533967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 W WARREN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264530",
            "telephone_number": "313-291-6694",
            "fax_number": "313-291-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 W WARREN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264530",
            "telephone_number": "313-291-6694",
            "fax_number": "313-291-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSSEIN AJROUCHE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "MOLNAR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-291-6694"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083964",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301083964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.