Maryam Mohammad-Pour Daryaee, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000606 Issued in MI

Practice address

30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260

Phone

(248) 865-4444

Fax

(248) 865-4121

NPI assigned

Jun 25, 2015

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Wayne State University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Consultants PCGroup PAC ID 4284604174, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4

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.

• Ear Nose and Throat Consultants PC

  dba Quality Hearing Aid Center

  • Specialist
  • Southfield, MI
  • NPI 1053484048
  Medicare reassignment Care Compare group NPD
• Michigan Ear Institute PLLC

  • Otolaryngology Physician
  • Farmington Hills, MI
  • NPI 1568575215
  Medicare reassignment NPD
• Michigan Otolaryngology Surgery

  • Otolaryngology Physician
  • Ypsilanti, MI
  • NPI 1407987688
  Medicare reassignment NPD
• Michigan Otolaryngolgy Surgery

  • Audiologist-Hearing Aid Fitter
  • Ypsilanti, MI
  • NPI 1760572978
  NPD

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1467834598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4444",
            "fax_number": "248-865-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARYAEE",
        "first_name": "MARYAM",
        "middle_name": "MOHAMMAD-POUR",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria H Darnell
• Kate Lynn Darrah
• Destiny Darrough
• Joanna Darwin
• Ayah Darwish
• Kyra Dasgupta
• Axely Dasilva
• Fernande Dasilva
• Ivana Dasilva
• Jessire Dasilva

• Audiologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.