Active NPI
Ahlam A Issa
- Speech-Language Pathologist
- Ann Arbor, MI
National Provider Identifier
1568950244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7151001569
- Practice address
- 2291 Shadowood Dr
Ann Arbor, MI 48108-2543 - Phone
- (734) 945-9628
- NPI assigned
- Apr 27, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7151001569 | MI | Primary |
Addresses
Primary practice location
2291 Shadowood Dr
Ann Arbor, MI 48108-2543
Mailing address
2291 Shadowood Dr
Ann Arbor, MI 48108-2543
Phone (734) 945-9628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2900 Golfside Dr
Suite 6
Ann Arbor, MI 48108-1410
Phone (734) 224-9121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7151001569 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Issa Speech Therapy PLLC | Current | Accepting new patients |
Locations
2900 Golfside Dr
Ste 6
Ann Arbor, MI 48108
Phone (734) 224-9121
5245 Schaefer Rd
Ste D
Dearborn, MI 48126
Phone (248) 862-5311
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.
-
- Hearing and Speech Clinic/Center
- Ann Arbor, MI
- NPI 1770255382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1568950244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2291 SHADOWOOD DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082543",
"telephone_number": "734-945-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2291 SHADOWOOD DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082543",
"telephone_number": "734-945-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSA",
"first_name": "AHLAM",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7151001569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.