Individual provider Active NPI

Ahlam Matti Toma, FNP-C

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1295254134
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704311900 Issued in MI
Practice address
7742 Schaefer Rd
Dearborn, MI 48126-1159
Phone
(313) 429-3195
Fax
(313) 429-3198
NPI assigned
Sep 12, 2017
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704311900 MI Primary

Addresses

Primary practice location

7742 Schaefer Rd
Dearborn, MI 48126-1159

Mailing address

7742 Schaefer Rd
Dearborn, MI 48126-1159
Phone (313) 429-3195

Other practice location 1

14726 Champaign Rd
Allen Park, MI 48101-1617
Phone (313) 789-7968

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
I20191104002756 MI Practitioner - Nurse Practitioner 1951633395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warrenfield Medical Center, P.C.Group PAC ID 9133184336, 5 clinicians

Practice addresses (Care Compare)

14716 W Warren Ave
Dearborn, MI 48126-1347
Phone (313) 584-0018

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704311900MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acadian Clinic PLLC Single Specialty CurrentSince Nov 1, 2019 Accepting new patients
Mohammed M. Obeid, DO PC Single Specialty CurrentSince Aug 26, 2023 Accepting new patients
Childrens Health Center Single Specialty Past Accepting new patients
HMC Group Single Specialty Past Accepting new patients

Locations

14726 Champaign Rd
Allen Park, MI 48101
Phone (313) 707-6667

14716 W Warren Ave
Dearborn, MI 48126
Phone (313) 581-9090

7742 Schaefer Rd
Dearborn, MI 48126
Phone (313) 429-3195

Interoperability endpoints

  • Direct secure messaging: atoma1259154@epic00.shdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1295254134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261159",
            "telephone_number": "313-429-3195",
            "fax_number": "313-429-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261159",
            "telephone_number": "313-429-3195",
            "fax_number": "313-429-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14726 Champaign Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481011617",
            "country_code": "US",
            "telephone_number": "313-789-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMA",
        "first_name": "AHLAM",
        "middle_name": "MATTI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704311900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.