Mohamad Badaoui

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704341564 Issued in MI

Practice address

6245 Inkster Rd
Garden City, MI 48135-4001

Phone

(734) 458-3300

NPI assigned

Jul 5, 2022

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arman C Moshyedi MD PLLCGroup PAC ID 1658603576, 13 clinicians

Core Psych, PLLCGroup PAC ID 8325384225, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAGHDD
• Direct secure messaging: mohamad.badaoui.1@18773.direct.athenahealth.com

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.

• Core Psych PLLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1871069039
  Medicare reassignment Care Compare group NPD
• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1700440203
  Medicare reassignment Care Compare group
• Senior Care Medical Group PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1285660571
  Medicare reassignment NPD
• Pulse Primary Care PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1225613870
  NPD

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1659004919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAOUI",
        "first_name": "MOHAMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-01-29",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704341564",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704341564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Augsburger, DO
• Mohammad Ayoub Ayoub
• Ayuda Le Home Care Plus, L.L.C.
• B.L. Narasimharaju MD PC
• William R Back, DO
• Jacob Douglas Bailey
• Tatanisha Baldwin
• Randy Dewain Balmforth, D.O.
• Montana Wayment Banks, PA-C
• Tulika Bansal

• Family Nurse Practitioner in Garden City, MI
• Providers in Garden City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.