Hauraa Aalabdulrasul, PA
Individual provider Active NPI Physician Assistant · Detroit, MI
NPI 1467181982 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1467181982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601011180 (MI)
- Practice address
- 42 W Warren Ave
Detroit, MI 48201-1347 - Phone
- (313) 577-2424
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Patient First Medical Clinic PLLC
Practice addresses (Care Compare)
6500 Schaefer Rd
Dearborn, MI 48126-1813
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230303000316 | MI | Practitioner - Physician Assistant | 7315310893 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Street Pharmacy PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011180 | MI | Yes |
Addresses
Primary practice location
42 W Warren Ave
Detroit, MI 48201-1347
Mailing address
42 W Warren Ave
Detroit, MI 48201-1347
Other providers in Detroit, MI
- A&H Pharmacy Services
- Aaa Home Visiting PLLC
- Aaa Prefered Adult Services LLC
- Aaa Preferred Adult Day Cente, LLC.
- Aal Pharmacy LLC
- Aamar Home Care LLC
- Aaric Care Outpatient Program
- Annie K Aaron
- Chase Aaron
- Cynthia K Aaron
All providers in Detroit, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.