Individual provider Active NPI

Nadia Mazraani, MD

  • Family Medicine Physician
  • Taylor, MI
National Provider Identifier
1740067313
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301061317 Issued in MI
Practice address
26650 Eureka Rd
Taylor, MI 48180-4835
Phone
(313) 561-5100
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301061317 MI Primary

Addresses

Primary practice location

26650 Eureka Rd
Taylor, MI 48180-4835

Mailing address

17409 Rolling Woods Cir
Northville, MI 48168-1895

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030001573 MI Practitioner - Family Practice 8325494230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Wayne Family Health CentersGroup PAC ID 4082617998, 15 clinicians

Practice addresses (Care Compare)

4700 Schaefer Rd
Dearborn, MI 48126-3655
Phone (313) 561-5100

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wayne Family Health Centers CurrentSince Oct 1, 2023 Accepting new patients
Western Wayne Family Health Centers CurrentSince Oct 1, 2023 Accepting new patients
Western Wayne Family Health Centers Current Accepting new patients
Western Wayne Family Health Centers Past Accepting new patients
Western Wayne Family Health Centers Past Accepting new patients

Locations

4700 Schaefer Rd
Ste 255
Dearborn, MI 48126
Phone (313) 561-5100

4700 Schaefer Rd
Ste 245
Dearborn, MI 48126
Phone (313) 561-5100

4700 Schaefer Rd
Ste 340
Dearborn, MI 48126
Phone (313) 561-5100

4700 Schaefer Rd
Dearborn, MI 48126
Phone (313) 561-5100

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

25650 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-1515

26650 Eureka Rd
Ste C
Taylor, MI 48180
Phone (734) 941-4991

26650 Eureka Rd
Taylor, MI 48180
Phone (313) 561-5100

26650 Eureka Rd
Ste C1
Taylor, MI 48180
Phone (734) 941-4991

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

Interoperability endpoints

  • Direct secure messaging: nmazaani953299@direct.hfhs.org
  • Direct secure messaging: nadia.mazraani.1@17288.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17288/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1740067313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17409 ROLLING WOODS CIR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481681895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26650 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804835",
            "telephone_number": "313-561-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZRAANI",
        "first_name": "NADIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301061317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.