Ahlam Elayan, NURSE PRACTIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704271899 Issued in MI

Practice address

35932 Old Homestead Dr
Farmington Hills, MI 48335-2037

Phone

(313) 205-0249

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aelayan448075@direct.hfhs.org

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.

• Henry Ford Health System

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1104900455
  Medicare reassignment Care Compare group NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Internal Medicine of Dearborn

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1164846739
  NPD (past)
• Millennium Medical Group South PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1265468623

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1669821971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35932 OLD HOMESTEAD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352037",
            "telephone_number": "313-205-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35932 OLD HOMESTEAD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352037",
            "telephone_number": "313-205-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAYAN",
        "first_name": "AHLAM",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704271899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton Elam, BS, MRE
• Ja'Van Elam
• Joseph Elam
• Regina Elam
• Tori Elam
• Camillia L Elayan
• Tarick Nael Elayan, NP
• Savannah Yasmine Elayyach
• Christian Elder
• Haley Elder

• Nurse Practitioner in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Nurse Practitioner in Michigan

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

Verify at the official NPI Registry.