Individual provider Active NPI

Boshra Abdulrahman Almoayed, MD

  • Psychosomatic Medicine Physician
  • Dearborn, MI
National Provider Identifier
1447323829
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
0101240493 Issued in VA
Practice address
1952 Monroe St
Dearborn, MI 48124-2917
Phone
(313) 770-5755
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X MD035907 DC
Psychosomatic Medicine Physician 2084P0015X 0101240493 VA Primary

Addresses

Primary practice location

1952 Monroe St
Dearborn, MI 48124-2917

Mailing address

3 Pembroke CT
Dearborn, MI 48126-4203
Phone (313) 770-5755

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221001863 MI Practitioner - Psychiatry 3678655099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1952 Monroe St
Dearborn, MI 48124-2917
Phone (313) 483-9337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035907DCMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feeling Good Medical Center PLLC Psychiatry CurrentSince Apr 28, 2019 Accepting new patients
American Integrative Holistic Psychiatry, PLLC Psychosomatic Medicine CurrentSince Jun 18, 2023 Accepting new patients
Fairfax County, Virginia PastSince Jul 15, 2002 Accepting new patients

Locations

3 Parklane Blvd
Ste 1027W
Dearborn, MI 48126
Phone (313) 483-9337

1952 Monroe St
Dearborn, MI 48124
Phone (313) 483-9337

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1447323829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PEMBROKE CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264203",
            "telephone_number": "313-770-5755",
            "fax_number": "313-483-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-770-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMOAYED",
        "first_name": "BOSHRA",
        "middle_name": "ABDULRAHMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "DC",
            "license": "MD035907",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "VA",
            "license": "0101240493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.