Active NPI
Inshad Hassan Beydoun, PA
- Medical Physician Assistant
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601003140
- Practice address
- 4789 Westland St
Dearborn, MI 48126-2809 - Phone
- (313) 582-0217
- NPI assigned
- Jun 2, 2006
- Last updated
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601003140 | MI | Primary |
Addresses
Primary practice location
4789 Westland St
Dearborn, MI 48126-2809
Mailing address
4789 Westland St
Dearborn, MI 48126-2809
Phone (313) 582-0217
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5220 Oakman Blvd
Dearborn, MI 48126-3318
Phone (313) 203-5300
5250 Auto Club Dr
Dearborn, MI 48126-4212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003140 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fatima Health Care,P.C. | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Hammoud Medical Center PC | Past | Accepting new patients |
Locations
22146 Ford Rd
Ste 3
Dearborn Heights, MI 48127
Phone (313) 562-9588
Organizations & group practices 5
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Dearborn, MI
- NPI 1689979569
-
- Primary Care Clinic/Center
- Dearborn, MI
- NPI 1629003132
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1922006048
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1417995507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4789 WESTLAND ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262809",
"telephone_number": "313-582-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4789 WESTLAND ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262809",
"telephone_number": "313-582-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYDOUN",
"first_name": "INSHAD",
"middle_name": "HASSAN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601003140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.