Individual provider Active NPI

Lyla Makled, DNP, FNP-BC

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1487338166
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704360154 Issued in MI
Practice address
5859 Mead St
Dearborn, MI 48126-2035
Phone
(313) 282-2773
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704360154 MI Primary

Addresses

Primary practice location

5859 Mead St
Dearborn, MI 48126-2035

Mailing address

5859 Mead St
Dearborn, MI 48126-2035

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
I20230719001125 MI Practitioner - Nurse Practitioner 7810357043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRJ and Associates PLLCGroup PAC ID 1153644653, 7 clinicians

Practice addresses (Care Compare)

80 S Zeeb Rd
Mi Express Care
Ann Arbor, MI 48103-6058
Phone (734) 272-0063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aoun Medical Group PLLC CurrentSince Jan 6, 2026 Accepting new patients
WRJ & Associates PLLC CurrentSince Oct 4, 2023 Accepting new patients
Umayr Azimi MD PLLC CurrentSince Oct 4, 2023 Accepting new patients

Locations

80 S Zeeb Rd
Ann Arbor, MI 48103
Phone (734) 272-0063

44237 Michigan Ave
Ste B
Canton, MI 48188
Phone (734) 333-9001

44237 Michigan Ave
Canton, MI 48188
Phone (734) 333-9001

5901 W Vernor Hwy
Detroit, MI 48209
Phone (313) 207-5767

Interoperability endpoints

  • Direct secure messaging: lmakled506052@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/22896/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lyla.makled.1@21010.direct.athenahealth.com
  • Direct secure messaging: lyla.makled@2217.securemail.prognocis.com
  • Direct secure messaging: lyla.makled.1@22896.direct.athenahealth.com

Organizations & group practices 4

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1487338166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 MEAD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 MEAD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262035",
            "telephone_number": "313-282-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLED",
        "first_name": "LYLA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704360154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.