Individual provider Active NPI

Asma Haydar

  • Family Nurse Practitioner
  • Dearborn Heights, MI
National Provider Identifier
1386236909
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704359755 Issued in MI
Practice address
23850 Van Born Rd
Dearborn Heights, MI 48125-2325
Phone
(313) 278-7750
NPI assigned
Feb 4, 2021
Last updated
May 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704359755 MI
Family Nurse Practitioner 363LF0000X 4704359755 MI Primary
Registered Nurse 163W00000X 4704359755 MI

Addresses

Primary practice location

23850 Van Born Rd
Dearborn Heights, MI 48125-2325

Mailing address

23850 Van Born Rd
Dearborn Heights, MI 48125-2325

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
I20220119000571 MI Practitioner - Nurse Practitioner 6901298215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

2487 N Elms Rd
McLaren Flint Flushing Community Medical Ce
Flushing, MI 48433-9426
Phone (810) 487-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704359755MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Single Specialty CurrentSince May 1, 2024 Accepting new patients
McLaren Flint Single Specialty CurrentSince May 1, 2024 Accepting new patients
Alzohaili Medical Consultants MD PC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
McLaren Flint Single Specialty Past Accepting new patients

Locations

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2487 N Elms Rd
Flushing, MI 48433
Phone (810) 342-1588

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1386236909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-278-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDAR",
        "first_name": "ASMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704359755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704359755",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704359755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.