Ahmed Abdulreda
Individual provider Active NPI Family Nurse Practitioner · Dearborn, MI
NPI 1548944697 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1548944697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704359669 (MI)
- Practice address
- 15400 Michigan Ave Ste 1
Dearborn, MI 48126-3491 - Phone
- (313) 584-3359
- NPI assigned
- Jun 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pulse Primary Care PLLC
Practice addresses (Care Compare)
15400 Michigan Ave
Suite 1
Dearborn, MI 48126-3491
Phone (313) 207-5767
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622003309 | MI | Practitioner - Nurse Practitioner | 1759749708 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704359669 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Ahmad MD PLC | Current |
Accepting new patients | |
| Oakland Medical Clinic PLLC | Current |
Accepting new patients | |
| Sterling Medical Center PLLC | Current |
Accepting new patients | |
| PFMC PLLC | Current |
Accepting new patients | |
| Pulse Primary Care PLLC | Current |
Accepting new patients | |
| Center Street Pharmacy PLLC | Past |
Accepting new patients |
Locations
126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000
15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767
6500 Schaefer Rd
Ste A
Dearborn, MI 48126
Phone (313) 584-7900
23550 Park St
Ste 201
Dearborn, MI 48124
Phone (313) 277-0075
6500 Schaefer Rd
Dearborn, MI 48126
Phone (313) 581-6500
6501 Greenfield Rd
Detroit, MI 48228
Phone (313) 281-2225
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
36555 26 Mile Rd
Ste 3600
Lenox, MI 48048
Phone (313) 207-5767
720 E 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 246-2209
13409 E 14 Mile Rd
Sterling Hts, MI 48312
Phone (586) 250-1267
Interoperability endpoints
- aabdulreda2906325@epic00.corewelldirect.org
- https://fhir4.healow.com/fhir/r4/IAGHDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704359669 | MI | Yes |
Addresses
Primary practice location
15400 Michigan Ave Ste 1
Dearborn, MI 48126-3491
Mailing address
15400 Michigan Ave Ste 1
Dearborn, MI 48126-3491
Phone (313) 584-3359
Other providers in Dearborn, MI
- Arwa Abdulmajid
- Sumaya A Abdulrab
- Mamdouh Abdulrazzak
- Mustafa Abdulrazzaq
- Raghad Abdullah Abdulrazzaq
- Mohammad Husam Aldean Najeeb Abed Alhaleem
- Omeruddine Abed
- Sayed Raoof Abedi
- Reza Abghari
- Meira Abidov
All providers in Dearborn, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.