Individual provider Active NPI

Zahera Husaini, N.P.

  • Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1831591551
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704254499 Issued in MI
Practice address
20905 Greenfield Rd Ste 502
Southfield, MI 48075-5351
Phone
(248) 395-2888
NPI assigned
Sep 25, 2014
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704254499 MI Primary

Addresses

Primary practice location

20905 Greenfield Rd Ste 502
Southfield, MI 48075-5351

Mailing address

20905 Greenfield Rd Ste 502
Southfield, MI 48075-5351
Phone (248) 395-2891

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
I20150320001297 MI Practitioner - Nurse Practitioner 7618294190 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surinder Mendiratta PLLC CurrentSince May 1, 2020 Accepting new patients

Locations

20905 Greenfield Rd
Ste 205
Southfield, MI 48075
Phone (248) 395-2888

20905 Greenfield Rd
Ste 502
Southfield, MI 48075
Phone (248) 395-2888

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, 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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1831591551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 502",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755351",
            "telephone_number": "248-395-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 502",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755351",
            "telephone_number": "248-395-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAINI",
        "first_name": "ZAHERA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704254499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.