Individual provider Active NPI

Sheiraz Tekko, MSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1548655046
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704276630 Issued in MI
Practice address
2251 Antietam Ave
Detroit, MI 48207
Phone
(313) 818-3654
Fax
(313) 818-6385
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704276630 MI Primary

Addresses

Primary practice location

2251 Antietam Ave
Detroit, MI 48207

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 999-5829

Other practice location 1

3131 E 12 Mile Rd
Warren, MI 48092-2448
Phone (313) 595-3360

Other practice location 2

610 W 13 Mile Rd
Madison Heights, MI 48071-1858
Phone (248) 849-4823

Other practice location 3

3131 E 12 Mile Rd
Warren, MI 48092-2448
Phone (313) 595-3360

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
I20190327002079 MI Practitioner - Nurse Practitioner 6800136953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704276630MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System-School Based Health Initiative CurrentSince Dec 1, 2025 Accepting new patients

Locations

1000 Scotten St
Detroit, MI 48209
Phone (313) 457-2797

2251 Antietam Ave
Detroit, MI 48207
Phone (313) 818-3654

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

610 W 13 Mile Rd
Madison Heights, MI 48071
Phone (248) 849-4823

3131 E 12 Mile Rd
Warren, MI 48092
Phone (586) 558-8765

Interoperability endpoints

  • Direct secure messaging: stekko1155333@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1548655046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "800-999-5829",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 ANTIETAM AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-818-3654",
            "fax_number": "313-818-6385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480922448",
            "country_code": "US",
            "telephone_number": "313-595-3360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711858",
            "country_code": "US",
            "telephone_number": "248-849-4823",
            "fax_number": "586-623-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480922448",
            "country_code": "US",
            "telephone_number": "313-595-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKKO",
        "first_name": "SHEIRAZ",
        "credential": "MSN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704276630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.