Individual provider Active NPI

Hajerah Arif, PA-C

  • Physician Assistant
  • Hamtramck, MI
National Provider Identifier
1467069690
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010134 Issued in MI
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

Updated by the provider on Oct 1, 2020

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 3971582685, 12 clinicians

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

  • Direct secure messaging: harif622029@direct.hfhs.org
  • Direct secure messaging: 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

Verify at the official NPI Registry.