Active NPI
Andrew Youssef, PA
- Physician Assistant
- Macomb, MI
National Provider Identifier
1316637150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601011772
- Practice address
- 21844 23 Mile Rd
Macomb, MI 48042-4422 - Phone
- (586) 213-1492
- NPI assigned
- May 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011772 | MI | Primary |
Addresses
Primary practice location
21844 23 Mile Rd
Macomb, MI 48042-4422
Mailing address
40364 Pallazo Dr
Clinton TWP, MI 48038-4047
Phone (248) 861-5504
Other practice location 1
40364 Pallazo Dr
Clinton Twp, MI 48038-4047
Phone (248) 861-5504
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821003539 | MI | Practitioner - Physician Assistant | 8325400443 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21844 23 Mile Rd
Macomb, MI 48042-4422
Phone (586) 213-1492
3815 Pelham St
Dearborn, MI 48124-3852
Phone (313) 789-7636
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601011772 | MI | MD | Physician Assistant |
Interoperability endpoints
- ayoussef812556@direct.hfhs.org
Organizations & group practices 3
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 3
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": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1316637150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40364 PALLAZO DR",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480384047",
"telephone_number": "248-861-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21844 23 MILE RD",
"city": "MACOMB",
"state": "MI",
"postal_code": "480424422",
"telephone_number": "586-213-1492"
}
],
"practiceLocations": [
{
"address_1": "40364 Pallazo Dr",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480384047",
"country_code": "US",
"telephone_number": "248-861-5504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUSSEF",
"first_name": "ANDREW",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601011772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.
- 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.