Individual provider Active NPI

Esmahan Fayed

  • Acute Care Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1346977378
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704333779 Issued in MI
Practice address
4842 Argyle St
Dearborn, MI 48126-3180
Phone
(313) 205-6351
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704333779 MI Primary
Gerontology Nurse Practitioner 363LG0600X 4704333779 MI

Addresses

Primary practice location

4842 Argyle St
Dearborn, MI 48126-3180

Mailing address

4842 Argyle St
Dearborn, MI 48126-3180
Phone (313) 205-6351

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
I20220901002432 MI Practitioner - Nurse Practitioner 3375927890 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704333779MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Feb 16, 2023 Accepting new patients
Vitality Visiting Physicians, PLLC CurrentSince Apr 25, 2023 Accepting new patients
Fuad Rahimee MD PC CurrentSince Nov 18, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 26, 2023 Accepting new patients
Infinity Visiting Physician Services PLC PastSince Sep 6, 2020 Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

23850 Van Born Rd
Dearborn Hts, MI 48125
Phone (313) 278-7750

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311

31830 Ryan Rd
Warren, MI 48092
Phone (586) 795-5862

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: esmahan.fayed.1@25375.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1346977378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 ARGYLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263180",
            "telephone_number": "313-205-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 ARGYLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263180",
            "telephone_number": "313-205-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYED",
        "first_name": "ESMAHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704333779",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704333779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.