Individual provider Active NPI

Fatima Diab Hachem

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1811624109
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704326896 Issued in MI
Practice address
25325 Ford Rd Ste 200
Dearborn, MI 48128-1086
Phone
(313) 887-7774
NPI assigned
Aug 5, 2022
Last updated
Dec 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704326896 MI Primary

Addresses

Primary practice location

25325 Ford Rd Ste 200
Dearborn, MI 48128-1086

Mailing address

400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599

Other practice location 1

400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Phone (800) 465-3203

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.kareo.com

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
I20241022002924 MI Practitioner - Nurse Practitioner 3274065735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mike Eldirani MD PLCGroup PAC ID 9032549506, 3 clinicians

Practice addresses (Care Compare)

25325 Ford Rd
Suite 200
Dearborn, MI 48128-1086
Phone (313) 887-7774

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Eldirani MD PLC CurrentSince Feb 16, 2025 Accepting new patients
Life Medical Center Urgent Care PLC CurrentSince Aug 8, 2024 Accepting new patients
Strength PT LLC Current Accepting new patients

Locations

25325 Ford Rd
Dearborn, MI 48128
Phone (313) 724-0584

25325 Ford Rd
Ste 200
Dearborn, MI 48128
Phone (313) 357-3006

25325 Ford Rd
Ste B
Dearborn, MI 48128
Phone (313) 887-7774

Interoperability endpoints

  • Direct secure messaging: fatima.hachem.1@33071.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1811624109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE CTR STE 2600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 FORD RD STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-887-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Renaissance Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482431599",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACHEM",
        "first_name": "FATIMA",
        "middle_name": "DIAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704326896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.kareo.com",
            "affiliation": "N",
            "address_1": "25325 Ford Rd Ste 200",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481281086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.