Active NPI
Aysha Beyshenkulova
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1720834005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 22201 Moross Rd
Suite 80
Detroit, MI 48236 - Phone
- (313) 343-3800
- Fax
- (313) 343-4756
- NPI assigned
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
22201 Moross Rd
Suite 80
Detroit, MI 48236
Mailing address
22201 Moross Rd
Suite 80
Detroit, MI 48236
Phone (313) 343-3800
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251117001339 | MI | Order and Referring Only - Pediatric Medicine | 9931690070 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1720834005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22201 MOROSS RD",
"address_2": "SUITE 80",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-343-3800",
"fax_number": "313-343-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22201 MOROSS RD",
"address_2": "SUITE 80",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-343-3800",
"fax_number": "313-343-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYSHENKULOVA",
"first_name": "AYSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Aug 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.