NPIMap

Individual provider Active NPI

Hanadi Baydoun

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1275265126
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704348699 Issued in MI
Practice address
851 Drexel St
Dearborn, MI 48128-1606
Phone
(313) 455-9488
NPI assigned
Jun 29, 2022
Reactivated
Nov 22, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704348699 MI Primary
Critical Care Medicine Registered Nurse 163WC0200X 4704348699 MI

Addresses

Primary practice location

851 Drexel St
Dearborn, MI 48128-1606

Mailing address

5557 Cass Ave
Detroit, MI 48202-3615
Phone (313) 577-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216000927 MI Practitioner - Nurse Practitioner 5597109678 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

18930 W Rd
Beaumont Urgent Care of Michigan
Woodhaven, MI 48183-3317
Phone (734) 671-4900

19760 Haggerty Rd
Beaumont Urgent Care of Michigan
Livonia, MI 48152-1080
Phone (734) 793-8769

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

23100 Michigan Ave
Dearborn, MI 48124-2033
Phone (313) 263-7584

27810 Grand River Ave
Farmington Hills, MI 48336-5916
Phone (248) 957-1989

29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953
Phone (248) 488-5900

34435 Michigan Ave
Wayne, MI 48184-1763
Phone (734) 589-1524

6549 N Canton Ctr Rd
Beaumont Urgent Care of Michigan
Canton, MI 48187-1653
Phone (734) 589-1969

9870 Telegraph Rd
Taylor, MI 48180-3399
Phone (313) 291-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkley Urgent Care PLLC CurrentSince Jan 1, 2025 Accepting new patients
Express Health Urgent Care PLLC CurrentSince Jan 1, 2025 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Jun 11, 2025 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Dearborn Heights PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Dearborn PLC CurrentSince Sep 1, 2024 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

3270 Greenfield Rd
Berkley, MI 48072
Phone (248) 268-1525

13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200

24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000

26400 Plymouth Rd
Redford, MI 48239
Phone (313) 543-3300

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1275265126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 CASS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023615",
            "telephone_number": "313-577-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 DREXEL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281606",
            "telephone_number": "313-455-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYDOUN",
        "first_name": "HANADI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "deactivation_date": "2023-11-10",
        "reactivation_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704348699",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704348699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.