Active NPI
Hajerah Arif, PA-C
- Physician Assistant
- Hamtramck, MI
National Provider Identifier
1467069690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010134
- Practice address
- 2930 Holbrook St
Hamtramck, MI 48212-3512 - Phone
- (773) 456-9586
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010134 | MI | Primary |
Addresses
Primary practice location
2930 Holbrook St
Hamtramck, MI 48212-3512
Mailing address
29660 Moran St
Farmington Hills, MI 48336-2741
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | email@email.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210218002805 | MI | Practitioner - Physician Assistant | 0446665749 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Medicine PC
Practice addresses (Care Compare)
20280 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 987-1250
9824 Conant St
Hamtramck, MI 48212-3309
Phone (313) 285-9766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- harif622029@direct.hfhs.org
- hajerah.arif.2@16805.direct.athenahealth.com
Organizations & group practices 1
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": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1467069690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29660 MORAN ST",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 HOLBROOK ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123512",
"telephone_number": "773-456-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIF",
"first_name": "HAJERAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010134",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "email@email.com",
"affiliation": "N",
"address_1": "2930 Holbrook St",
"city": "Hamtramck",
"state": "MI",
"country_code": "US",
"postal_code": "482123512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.