NPIMap

Individual provider Active NPI

Nadine Kamel Jawad, MD

  • Primary Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1487408118
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301515703 Issued in MI
Practice address
4444 2ND Ave Ste 30674
Detroit, MI 48201-1216
Phone
(833) 348-3044
Fax
(313) 830-3020
NPI assigned
Apr 17, 2024
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 345786-01 NY
Primary Care Clinic/Center 261QP2300X 4301515703 MI Primary
Primary Care Clinic/Center 261QP2300X 211817 CA
Primary Care Clinic/Center 261QP2300X W9135 TX
Primary Care Clinic/Center 261QP2300X 80523 AZ

Addresses

Primary practice location

4444 2ND Ave Ste 30674
Detroit, MI 48201-1216

Mailing address

4444 2ND Ave Ste 30674
Detroit, MI 48201-1216
Phone (833) 348-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: njawad954479@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1487408118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 2ND AVE STE 30674",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011216",
            "telephone_number": "833-348-3044",
            "fax_number": "313-830-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 2ND AVE STE 30674",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011216",
            "telephone_number": "833-348-3044",
            "fax_number": "313-830-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWAD",
        "first_name": "NADINE",
        "middle_name": "KAMEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "345786-01",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301515703",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "211817",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "W9135",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "80523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.