Active NPI
Laya Nasrallah, NP
- Adult Health Nurse Practitioner
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704288912
- Practice address
- 5728 Schaefer Rd Ste 103
Dearborn, MI 48126-2287 - Phone
- (313) 581-8080
- Fax
- (313) 581-8383
- NPI assigned
- Jun 15, 2020
- Last updated
- Nov 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704288912 | MI | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 95034902 | CA |
Addresses
Primary practice location
5728 Schaefer Rd Ste 103
Dearborn, MI 48126-2287
Mailing address
132 N Gulley Rd
Dearborn, MI 48128-1501
Phone (313) 247-4596
Other practice location 1
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994
Other practice location 2
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Phone (888) 731-8994
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5728 Schaefer Rd
Suite 103
Dearborn, MI 48126-2287
Phone (313) 581-8080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034902 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Care Medical Clinic PLLC | Current | Accepting new patients |
Locations
5728 Schaefer Rd
Ste 103
Dearborn, MI 48126
Phone (313) 581-8080
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAIAAA
- lnasrallah368841@direct.hfhs.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1861702433
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762646400000",
"number": "1316562432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 N GULLEY RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281501",
"telephone_number": "313-247-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5728 SCHAEFER RD STE 103",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262287",
"telephone_number": "313-581-8080",
"fax_number": "313-581-8383"
}
],
"practiceLocations": [
{
"address_1": "195 Page Mill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943062073",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Renaissance Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431599",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASRALLAH",
"first_name": "LAYA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2025-11-09",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704288912",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95034902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 9, 2025; 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.
- 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.