Active NPI
Sheiraz Tekko, MSN, CPNP-PC
- Pediatric Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704276630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704276630 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System-School Based Health Initiative | Current | 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
- 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.
-
- Professional Counselor
- Detroit, MI
- NPI 1104010578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.