Nouha Alammar, D.O
Individual provider Active NPI Facial Plastic Surgery Physician · Dearborn, MI
NPI 1376854570 · NPPES record last updated Jan 25, 2017
Key facts
- NPI
- 1376854570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Facial Plastic Surgery Physician 207YS0123X
- License
- 5101016096 (MI)
- Practice address
- 24530 Michigan Ave
Dearborn, MI 48124-1700 - Phone
- (313) 681-5300
- Fax
- (313) 749-7882
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Michigan State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Spartan Surgical Associates PLC
Michael Sherbin DO PC
Practice addresses (Care Compare)
24530 Michigan Ave
Dearborn, MI 48124-1711
Phone (313) 622-6879
309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Phone (586) 463-5831
Hospital & facility affiliations
- McLaren Macomb
- Beaumont Hospital - Dearborn
- Corewell Health Wayne Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140909001482 | MI | Practitioner - Otolaryngology | 0345469128 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016096 | MI | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Sherbin DO PC | Facial Plastic Surgery | Current |
Accepting new patients |
| Spartan Surgical Associates PLC | Current |
Accepting new patients | |
| Oosthoek Physical Therapy PC | Current |
Accepting new patients |
Locations
24530 Michigan Ave
Dearborn, MI 48124
Phone (248) 318-0026
309 Northbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 463-5831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 5101016096 | MI | Yes |
Addresses
Primary practice location
24530 Michigan Ave
Dearborn, MI 48124-1700
Mailing address
24530 Michigan Ave
Dearborn, MI 48124-1700
Phone (313) 681-5300
NPI Registry JSON
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1376854570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24530 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241700",
"telephone_number": "313-681-5300",
"fax_number": "313-749-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24530 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241700",
"telephone_number": "313-681-5300",
"fax_number": "313-749-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMMAR",
"first_name": "NOUHA",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MI",
"license": "5101016096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
- Mohamed Nabeel Alali
- Yasser Alali
- Buthaina Alaloom
- Ahlam Nabil Alamari
- Ali Alameh
- Yazan Fayeq Alamro
- Khalil Alaqrabawi
- Manar Alasady
- Mona Nick Alashkar
- Mariam Alata
All providers in Dearborn, MI · Facial Plastic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2017. 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.