Individual provider Active NPI

Suad F Sarhan

  • Gerontology Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1760128623
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704293320 Issued in MI
Practice address
7742 Schaefer Rd
Dearborn, MI 48126-1159
Phone
(313) 429-3195
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704293320 MI Primary

Addresses

Primary practice location

7742 Schaefer Rd
Dearborn, MI 48126-1159

Mailing address

7855 Reuter St
Dearborn, MI 48126-1129
Phone (313) 467-2708

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518001145 MI Practitioner - Nurse Practitioner 5395980163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acadian Clinic PLLCGroup PAC ID 1355688235, 3 clinicians

Practice addresses (Care Compare)

7742 Schaefer Rd
Dearborn, MI 48126-1159
Phone (313) 429-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704293320MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acadian Clinic PLLC CurrentSince Feb 2, 2023 Accepting new patients

Locations

7742 Schaefer Rd
Dearborn, MI 48126
Phone (313) 429-3195

2117 Springwells St
Detroit, MI 48209
Phone (313) 842-1800

8711 Michigan Ave
Detroit, MI 48210
Phone (313) 429-3195

Interoperability endpoints

  • Direct secure messaging: suad.sarhan@3389.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1760128623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 REUTER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261129",
            "telephone_number": "313-467-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261159",
            "telephone_number": "313-429-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARHAN",
        "first_name": "SUAD",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704293320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.