Individual provider Active NPI

Abdallah Chirazi, FNP

  • Family Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1508738501
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704350498 Issued in MI
Practice address
39341 Hyland Dr
Sterling Heights, MI 48310-2732
Phone
(313) 445-7272
NPI assigned
Sep 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 4704350498 MI Primary

Addresses

Primary practice location

39341 Hyland Dr
Sterling Heights, MI 48310-2732

Mailing address

39341 Hyland Dr
Sterling Heights, MI 48310-2732
Phone (313) 445-7272

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
I20260202002313 MI Practitioner - Nurse Practitioner 8729566559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Psych and Wellness PLLCGroup PAC ID 8729529623, 7 clinicians

Practice addresses (Care Compare)

21415 Goddard Rd
Taylor, MI 48180-4247
Phone (248) 667-8014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704350498MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Medical Equipment LLC CurrentSince Jan 12, 2026 Accepting new patients
Modern Psych and Wellness PLLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

21415 Goddard Rd
Taylor, MI 48180
Phone (248) 667-8014

Organizations & group practices 2

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1508738501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39341 HYLAND DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102732",
            "telephone_number": "313-445-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39341 HYLAND DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102732",
            "telephone_number": "313-445-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRAZI",
        "first_name": "ABDALLAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704350498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.