Ebitehal Elbeshir, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AG02230023 Issued in MI

Practice address

4499 Parker St
Dearborn Heights, MI 48125-2234

Phone

(313) 456-5414

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: ebtehal.elbeshir.1@23214.direct.athenahealth.com

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.

• Behavioral Care Solutions for Adults and Seniors, Inc.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1154727147
  Medicare reassignment NPD
• Palliative & Hospice Consultants PLLC

  • Pulmonary Disease Physician
  • Detroit, MI
  • NPI 1689449019
  Medicare reassignment NPD
• Primary Care Center PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1780292623
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1275901704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 PARKER ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252234",
            "telephone_number": "313-804-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 PARKER ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252234",
            "telephone_number": "313-456-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBESHIR",
        "first_name": "EBITEHAL",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "AG02230023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie El-Zayat
• Hassan Elalem
• Mariam Elalem
• Elammar LLC
• Niveen Elayan, PA-C
• Kay Elder, FNP-C
• Mohamad Elhage
• Mohamed Elhasan, OTRL
• Lilian Elhur, NP
• Elias Personal Care LLC

• Nurse Practitioner in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.