Mike Eldirani MD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIKE ELDIRANI MD PLC

Doing business as

Life Medical Center

Practice address

25325 Ford Rd Ste 200
Dearborn, MI 48128-1086

Phone

(313) 456-5050

Fax

(313) 914-5922

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Diana El Masri

Title

Credentialing Coordinator

Phone

(248) 215-0048

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed A Eldirani, M.D.

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1801139928
  Medicare reassignment Care Compare group NPD
• Fatima Diab Hachem

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1811624109
  Medicare reassignment Care Compare group NPD
• Khalil Mustapha Hamadi, FNP-C

  • Family Nurse Practitioner
  • Commerce Township, MI
  • NPI 1184445132
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1366077000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 3670",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 FORD RD STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-456-5050",
            "fax_number": "313-914-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE ELDIRANI MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "EL MASRI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "248-215-0048"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Carmel Miglio, DO
• Camille Marie Miguel, D.O.
• Heather Mihalik, CRNA
• Marina Rae Mihelich
• Estrella Mijes
• Bridgette Mikkelson
• Mikula Chiropractic DCPC
• Paul Adam Mikula, DC
• Pamela Miles, CRNA
• Milestones ABA Therapy

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.