NPIMap

Individual provider Active NPI

Raghda Haithem Hanna

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1346806692
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009424 Issued in MI
Practice address
38074 Douglas Dr
Sterling Heights, MI 48310-2828
Phone
(586) 850-9377
NPI assigned
May 13, 2019
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 5601009424 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

38074 Douglas Dr
Sterling Heights, MI 48310-2828

Mailing address

38074 Douglas Dr
Sterling Heights, MI 48310-2828
Phone (586) 850-9377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110000669 MI Practitioner - Physician Assistant 6507276136 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Shelby PLCGroup PAC ID 0749646412, 16 clinicians
Get Well Urgent Care Macomb PLCGroup PAC ID 6204232176, 19 clinicians
Get Well Urgent Care Harper Woods PLCGroup PAC ID 5698145506, 14 clinicians
Roseville Urgent Care PCGroup PAC ID 8921281361, 21 clinicians
Get Well Urgent Care Sterling Heights PLCGroup PAC ID 8820405400, 19 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians

Practice addresses (Care Compare)

13467 23 Mile Rd
Shelby Township, MI 48315-2717
Phone (586) 884-7400

15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100

19959 Vernier Rd
Suite 400
Harper Woods, MI 48225-1423
Phone (313) 499-1951

20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 Accepting new patients
First Choice Urgent Care PC Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1346806692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38074 DOUGLAS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102828",
            "telephone_number": "586-850-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38074 DOUGLAS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102828",
            "telephone_number": "586-850-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "RAGHDA",
        "middle_name": "HAITHEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009424",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.