Individual provider Active NPI

Zamzam Elghoul

  • Certified Registered Nurse Anesthetist
  • Dearborn, MI
National Provider Identifier
1285040832
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9386258 Issued in FL
Practice address
7922 Barrie St
Dearborn, MI 48126-1062
Phone
(313) 205-9411
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9386258 FL Primary
Certified Registered Nurse Anesthetist 367500000X 2014034198 MO

Addresses

Primary practice location

7922 Barrie St
Dearborn, MI 48126-1062

Mailing address

7922 Barrie St
Dearborn, MI 48126-1062
Phone (313) 205-9411

Other practice location 1

4510 Frederick Ave
Saint Joseph, MO 64506-3238
Phone (816) 364-9992

Other names 1

  • Zamzam M Beard Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926000917 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042438186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gasgas LLCGroup PAC ID 3870786544, 15 clinicians

Practice addresses (Care Compare)

10200 W 105TH St
Suite 100
Overland Park, KS 66212-5750
Phone (913) 492-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9386258FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Westglen Endoscopy Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2019 Accepting new patients
Westglen Endoscopy Center LLC CurrentSince Jul 23, 2019 Accepting new patients
Florida Hospital Past Accepting new patients

Locations

16663 Midland Dr
#200
Shawnee, KS 66217
Phone (913) 248-8800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1285040832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 BARRIE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261062",
            "telephone_number": "313-205-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 BARRIE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261062",
            "telephone_number": "313-205-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Frederick Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063238",
            "country_code": "US",
            "telephone_number": "816-364-9992",
            "fax_number": "816-364-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGHOUL",
        "first_name": "ZAMZAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9386258",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2014034198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAMZAM",
            "last_name": "BEARD",
            "middle_name": "M",
            "credential": "BEARD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.