Individual provider Active NPI

Tahani Hussein

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1306542196
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704322095 Issued in MI
Practice address
5266 Schaefer Rd
Dearborn, MI 48126-3228
Phone
(313) 914-3036
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 4704322095 MI Primary

Addresses

Primary practice location

5266 Schaefer Rd
Dearborn, MI 48126-3228

Mailing address

5266 Schaefer Rd
Dearborn, MI 48126-3228
Phone (313) 914-3036

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
I20260417001575 MI Practitioner - Nurse Practitioner 2769958636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17697 Palmer St
Melvindale, MI 48122-1258

4266 Schaefer
Dearborn, MI 48126

9925 Dix
Dearborn, MI 48120-1593

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704322095MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ibtesam M Rafeea M D P C Single Specialty CurrentSince Feb 8, 2023 Accepting new patients
Alenzi MD PC Single Specialty PastSince Feb 8, 2023 Accepting new patients

Locations

5266 Schaefer Rd
Dearborn, MI 48126
Phone (313) 914-3036

Interoperability endpoints

  • Direct secure messaging: tahani.hussein.1@29427.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1306542196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263228",
            "telephone_number": "313-914-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263228",
            "telephone_number": "313-914-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "TAHANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.