Individual provider Active NPI

Miranda Yousef

  • Physician Assistant
  • Troy, MI
National Provider Identifier
1396560306
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2095 E Big Beaver Rd Ste 375
Troy, MI 48083-2374
Phone
(248) 963-1124
Fax
(248) 509-7022
NPI assigned
Nov 15, 2024
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2095 E Big Beaver Rd Ste 375
Troy, MI 48083-2374

Mailing address

2095 E Big Beaver Rd Ste 375
Troy, MI 48083-2374
Phone (248) 963-1124

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
I20250107002622 MI Practitioner - Physician Assistant 7416485206 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bernardo a Rojas II MD PLLCGroup PAC ID 7719107614, 5 clinicians

Practice addresses (Care Compare)

2095 E Big Beaver Rd
Suite 375
Troy, MI 48083-2374
Phone (248) 963-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: miranda.yousef.1@23439.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1396560306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 E BIG BEAVER RD STE 375",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832374",
            "telephone_number": "248-963-1124",
            "fax_number": "248-509-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 E BIG BEAVER RD STE 375",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832374",
            "telephone_number": "248-963-1124",
            "fax_number": "248-509-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.