Individual provider Active NPI

Mostafa El Zarif

  • Urgent Care Clinic/Center
  • Livonia, MI
National Provider Identifier
1508603291
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4704425489 Issued in MI
Practice address
19000 St Joes Pkwy Ste 140
Livonia, MI 48152-1477
Phone
(734) 213-3688
Fax
(734) 213-3688
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 4704425489 MI
Urgent Care Clinic/Center 261QU0200X 4704425489 MI Primary
Family Nurse Practitioner 363LF0000X 1025352 TX

Addresses

Primary practice location

19000 St Joes Pkwy Ste 140
Livonia, MI 48152-1477

Mailing address

30713 Schoenherr Rd Ste a
Warren, MI 48088-3122
Phone (586) 284-2643

Other practice location 1

30713 Schoenherr Rd Ste A
Warren, MI 48088-3122
Phone (586) 284-2643 ext. 1

Other practice location 2

17000 Executive Plaza Dr Ste 102
Dearborn, MI 48126-2793
Phone (586) 284-2643 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250214001001 TX Practitioner - Nurse Practitioner 5991235376 Reassigns benefits to 1 organization
I20250519000705 MI Practitioner - Nurse Practitioner 5991235376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Livonia, MI 48152-1477

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704425489MIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sumpter Medical Group PLLC CurrentSince Mar 18, 2026 Accepting new patients
Sumpter Medical Care PLLC Urgent Care CurrentSince Jan 19, 2026 Accepting new patients
SNF Wound Care CurrentSince Feb 10, 2025 Accepting new patients
Sumpter Medical Care PLLC CurrentSince Jan 19, 2026 Accepting new patients
Minimally Invasive Pain Specialists PLLC Interventional Pain Medicine CurrentSince Jun 1, 2025 Accepting new patients

Locations

19130 Sumpter Rd
Ste 200
Belleville, MI 48111
Phone (734) 325-2179

19130 Sumpter Rd
Ste 100
Belleville, MI 48111
Phone (734) 325-2179

17000 Executive Plaza Dr
Ste 102
Dearborn, MI 48126
Phone (313) 334-4123

9001 15 Mile Rd
Ste C
Sterling Hts, MI 48312
Phone (586) 284-2643

30713 Schoenherr Rd
Ste A
Warren, MI 48088
Phone 5862842643 ext. 1

Organizations & group practices 6

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508603291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30713 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883122",
            "telephone_number": "586-284-2643",
            "fax_number": "586-265-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY STE 140",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521477",
            "telephone_number": "734-213-3688",
            "fax_number": "734-213-3688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30713 Schoenherr Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480883122",
            "country_code": "US",
            "telephone_number": "586-284-2643 x1",
            "fax_number": "586-265-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17000 Executive Plaza Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262793",
            "country_code": "US",
            "telephone_number": "586-284-2643 x1",
            "fax_number": "586-265-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL ZARIF",
        "first_name": "MOSTAFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4704425489",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4704425489",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1025352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.