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

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (2 clinicians)
Michael Sherbin DO PC (3 clinicians)

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 Hospital · Mount Clemens, MI · CCN 230227
  • Beaumont Hospital - Dearborn Hospital · Dearborn, MI · CCN 230020
  • Corewell Health Wayne Hospital Hospital · Wayne, MI · CCN 230142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

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 IDStateProvider typePAC IDDetails
I20140909001482 MI Practitioner - Otolaryngology 0345469128 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016096MIMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sherbin DO PC Facial Plastic Surgery Current
since Apr 21, 2015
Accepting new patients
Spartan Surgical Associates PLC Current
since Sep 1, 2014
Accepting new patients
Oosthoek Physical Therapy PC Current
since Nov 1, 2021
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 25, 2017.

{
    "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

All providers in Dearborn, MI · Facial Plastic Surgery Physician in Michigan

Sources for this page

Verify at the official NPI Registry.