Active NPI
Linda I Hadous
- Gerontology Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704278523
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (313) 343-4000
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 4704278523 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | 4704278523 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
4967 McKinley St
Dearborn Heights, MI 48125-2512
Phone (313) 727-9546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533
Hospital & facility affiliations
- Harper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704278523 | MI | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdslivenow PLLC | Current | Accepting new patients | |
| Transitional Healthcare Solutions PLLC | Current | Accepting new patients |
Locations
8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533
5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300
20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780
4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954
29436 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 479-3159
15450 Northline Rd
Southgate, MI 48195
Phone (313) 898-4390
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1215688965
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1376226928
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1609229848
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1649733965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 MCKINLEY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481252512",
"telephone_number": "313-727-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADOUS",
"first_name": "LINDA",
"middle_name": "I",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MI",
"license": "4704278523",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704278523",
"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 Mar 25, 2021; 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.
- 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.