Zainab Altalaqani, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Dearborn, MI
NPI 1649968686 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1649968686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 12841 Ford Rd
Dearborn, MI 48126-3349 - Phone
- (313) 710-4199
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Urgent Care PC
Practice addresses (Care Compare)
12841 Ford Rd
Dearborn, MI 48126-3349
Phone (313) 710-4205
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251024003074 | MI | Practitioner - Physician Assistant | 0042708505 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Urgent Care PC | Current |
Accepting new patients | |
| First Choice Medical Group PLLC | Past |
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
- zainab.altalaqani.1@20203.direct.athenahealth.com
- https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Yes |
Addresses
Primary practice location
12841 Ford Rd
Dearborn, MI 48126-3349
Mailing address
12841 Ford Rd
Dearborn, MI 48126-3349
Phone (313) 710-4199
Other providers in Dearborn, MI
- Ali Altachem
- Sanaa Altaee
- Sarah Rasheed Altaie
- Basheer Altairi
- Layal Altairy
- Ahlam Altamimi I
- Batool Altamimi
- Haelah Altarab
- Shahd Nabil Altashi
- Shaima Altayib
All providers in Dearborn, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.