Individual provider Active NPI

Zainab Altalaqani, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1649968686
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12841 Ford Rd
Dearborn, MI 48126-3349
Phone
(313) 710-4199
NPI assigned
Apr 27, 2023
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 MI Primary

Addresses

Primary practice location

12841 Ford Rd
Dearborn, MI 48126-3349

Mailing address

12841 Ford Rd
Dearborn, MI 48126-3349
Phone (313) 710-4199

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
I20251024003074 MI Practitioner - Physician Assistant 0042708505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

12841 Ford Rd
Dearborn, MI 48126-3349
Phone (313) 710-4205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Urgent Care PC CurrentSince Oct 17, 2025 Accepting new patients
First Choice Medical Group PLLC PastSince Oct 17, 2025 Accepting new patients

Locations

12841 Ford Rd
Dearborn, MI 48126
Phone (313) 710-4199

23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: zainab.altalaqani.1@20203.direct.athenahealth.com

Organizations & group practices 2

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1649968686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263349",
            "telephone_number": "313-710-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12841 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263349",
            "telephone_number": "313-710-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTALAQANI",
        "first_name": "ZAINAB",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.