Individual provider Active NPI

Maya Atallah, PA-C

  • Medical Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1851186225
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
32000 Northwestern Hwy Ste 120
Farmington Hills, MI 48334-1569
Phone
(248) 918-0800
Fax
(248) 918-2131
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MI Primary

Addresses

Primary practice location

32000 Northwestern Hwy Ste 120
Farmington Hills, MI 48334-1569

Mailing address

32000 Northwestern Hwy Ste 120
Farmington Hills, MI 48334-1569
Phone (248) 918-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Group PC CurrentSince Nov 9, 2025 Accepting new patients
Henry Ford Health Providence Hospital PastSince Nov 9, 2025 Accepting new patients

Locations

32000 Northwestern Hwy
Ste 120
Farmington Hills, MI 48334
Phone (248) 918-0800

Organizations & group practices 2

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1851186225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32000 NORTHWESTERN HWY STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341569",
            "telephone_number": "248-918-0800",
            "fax_number": "248-918-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32000 NORTHWESTERN HWY STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341569",
            "telephone_number": "248-918-0800",
            "fax_number": "248-918-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "MAYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.