Individual provider Active NPI

Iayat Karem Alkhalaf

  • Physician Assistant
  • Warren, MI
National Provider Identifier
1629567839
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011340 Issued in MI
Practice address
26000 Hoover Rd
Warren, MI 48089-1167
Phone
(586) 722-0707
NPI assigned
May 2, 2018
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011340 MI Primary

Addresses

Primary practice location

26000 Hoover Rd
Warren, MI 48089-1167

Mailing address

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

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
I20240131003559 MI Practitioner - Physician Assistant 7618320185 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Downriver PLCGroup PAC ID 5193061992, 19 clinicians
Get Well Urgent Care Taylor PLCGroup PAC ID 4385011329, 14 clinicians
Get Well Urgent Care Dearborn Heights PLCGroup PAC ID 7012362833, 17 clinicians

Practice addresses (Care Compare)

1770 Fort St
Lincoln Park, MI 48146-1904
Phone (313) 466-4000

20202 Eureka Rd
Taylor, MI 48180-5317
Phone (734) 589-1300

24950 W Warren St
Dearborn Heights, MI 48127-2143
Phone (313) 595-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601011340MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Garg and Associates Inc Past Accepting new patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1629567839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHALAF",
        "first_name": "IAYAT",
        "middle_name": "KAREM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.