Heba S Abazid
Individual provider Active NPI Primary Care Nurse Practitioner · Dearborn Heights, MI
NPI 1346826849 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1346826849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 4704326175 (MI)
- Practice address
- 25748 Graceland Cir
Dearborn Heights, MI 48125-1067 - Phone
- (313) 333-1364
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- M a Haroon, MD, PC
Practice addresses (Care Compare)
24887 Goddard Rd
Taylor, MI 48180-3930
Phone (734) 946-7200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220713002486 | MI | Practitioner - Nurse Practitioner | 0840671426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704326175NSA2107P | MI | MD | Nurse Practitioner |
| 4704326175 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M a Haroon, MD, PC | Current |
Accepting new patients | |
| Omega Home Medical Equipment, Inc | Past |
Accepting new patients |
Locations
24887 Goddard Rd
Taylor, MI 48180
Phone (734) 946-0228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704326175NSA2107P | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | 4704326175 | MI | Yes |
Addresses
Primary practice location
25748 Graceland Cir
Dearborn Heights, MI 48125-1067
Mailing address
25748 Graceland Cir
Dearborn Heights, MI 48125-1067
Phone (313) 333-1364
Other providers in Dearborn Heights, MI
- 8TH Palace LLC
- A L R Pharmcy Inc
- A-1 Transportation
- A.B. Counseling Solutions, Inc
- Haya S Abazid
- Samia A Abbas
- Zeinab Sobh Abbas
- Taylor Rae Abbey
- Ayah Abboud
- Moaed A Abd
All providers in Dearborn Heights, MI · Primary Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.