Active NPI
Asma Iqsbal Engelbrecht, N.P.-C
- Nurse Practitioner
- Wyandotte, MI
National Provider Identifier
1639201395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704232226
- Practice address
- 2333 Biddle Ave
Wyandotte, MI 48192-4668 - Phone
- (734) 246-6000
- NPI assigned
- Mar 9, 2007
- Last updated
- Feb 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704232226 | MI | Primary |
| Licensed Practical Nurse | 164W00000X | 4704232226 | MI |
Addresses
Primary practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Mailing address
12080 Pearl St
Southgate, MI 48195-1882
Phone (734) 284-1874
Other names 1
- Asma Iqsbal Mehboob
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amehboob56983@direct.hfhs.org |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704232226 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg Downriver PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764
23050 West Rd
Brownstown Twp, MI 48183
Phone (734) 287-9880
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1639201395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12080 PEARL ST",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481951882",
"telephone_number": "734-284-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924668",
"telephone_number": "734-246-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBRECHT",
"first_name": "ASMA",
"middle_name": "IQSBAL",
"name_prefix": "Mrs.",
"credential": "N.P.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704232226",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4704232226",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amehboob56983@direct.hfhs.org",
"affiliation": "N",
"address_1": "2333 Biddle Ave",
"city": "Wyandotte",
"state": "MI",
"country_code": "US",
"postal_code": "481924668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ASMA",
"last_name": "MEHBOOB",
"middle_name": "IQSBAL",
"credential": "N.P.-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.