Individual provider Active NPI

Younus A Dada, NP

  • Family Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1275825515
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704198563 Issued in MI
Practice address
239 N State Rd
Owosso, MI 48867-9075
Phone
(989) 725-6528
Fax
(989) 723-9446
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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 4704198563 MI Primary

Addresses

Primary practice location

239 N State Rd
Owosso, MI 48867-9075

Mailing address

PO Box 456
Owosso, MI 48867-0456
Phone (989) 725-6528

Other identifiers 1

IdentifierTypeStateIssuer
1275825515MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704198563MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alma CurrentSince Jun 15, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jun 15, 2025 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Memorial Hospital Family Past Accepting new patients
Mymichigan Medical Center Gladwin Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1275825515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488670456",
            "telephone_number": "989-725-6528",
            "fax_number": "989-723-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N STATE RD",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679075",
            "telephone_number": "989-725-6528",
            "fax_number": "989-723-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADA",
        "first_name": "YOUNUS",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704198563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275825515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.