Individual provider Active NPI

Hussein Ali Rachid

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1265115851
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704360149 Issued in MI
Practice address
7653 Indiana St
Dearborn, MI 48126-1203
Phone
(313) 367-9929
NPI assigned
Aug 9, 2023
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704360149 MI Primary

Addresses

Primary practice location

7653 Indiana St
Dearborn, MI 48126-1203

Mailing address

7653 Indiana St
Dearborn, MI 48126-1203
Phone (313) 367-9929

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
I20240930001385 MI Practitioner - Nurse Practitioner 4789115932 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aj Medical Associates PLCGroup PAC ID 5799046009, 2 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1647 Inkster Rd
Suite C
Garden City, MI 48135-3086
Phone (313) 859-9795

23600 Northline Rd
Taylor, MI 48180-4620
Phone (888) 408-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Medical Associates PLC CurrentSince Aug 1, 2024 Accepting new patients
Advanced Primary Care Clinics PLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

6200 Chase Rd
Dearborn, MI 48126
Phone (313) 278-0600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1265115851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7653 INDIANA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261203",
            "telephone_number": "313-367-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7653 INDIANA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261203",
            "telephone_number": "313-367-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHID",
        "first_name": "HUSSEIN",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704360149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.