Rana Elsamadouny

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901602086 Issued in MI

Practice address

37734 Van Dyke Ave
Sterling Heights, MI 48312-1839

Phone

(586) 250-3990

NPI assigned

May 29, 2024

Last updated

Sep 19, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Macomb Dental Group PLLC

  dba Macomb Dental Group

  • Dental Clinic/Center
  • Sterling Heights, MI
  • NPI 1487342218
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1518707280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47090 SHERSTONE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882186",
            "telephone_number": "313-566-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37734 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121839",
            "telephone_number": "586-250-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAMADOUNY",
        "first_name": "RANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Mark Ellero, D.D.S.
• Ashley Ellis
• Davanique Ellis
• Erica S Ellis
• Michelle Ellis, PT
• Aisan Jonel Elum
• Madeline Embrey
• Emil Sitto MD PC
• Empower Shecolbys Movement LLC
• Empower Shecolbys Movement LLC

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.