Individual provider Active NPI

Ghada Harsouni, M.D.

  • Pediatrics Physician
  • Ann Arbor, MI
National Provider Identifier
1851650782
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301110025 Issued in MI
Practice address
2200 Green Rd Ste H
Ann Arbor, MI 48105-1569
Phone
(734) 531-8299
Fax
(856) 212-1115
NPI assigned
May 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 4301110025 MI
Pediatrics Physician 208000000X 4301110025 MI Primary

Addresses

Primary practice location

2200 Green Rd Ste H
Ann Arbor, MI 48105-1569

Mailing address

2200 Green Rd Ste H
Ann Arbor, MI 48105-1569
Phone (734) 531-8299

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
I20160915002627 MI Practitioner - Pediatric Medicine 3678869740 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110025MIMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honeybee Pediatrics and Lactation Pediatrics Current Accepting new patients
University Pediatricians Pediatrics CurrentSince Aug 7, 2016 Accepting new patients
University Pediatricians Pediatrics CurrentSince Aug 7, 2016 Accepting new patients

Locations

2200 Green Rd
Ste H
Ann Arbor, MI 48105

3950 Beaubien St
Detroit, MI 48201
Phone (313) 745-5437

4201 Saint Antoine St
#5D
Detroit, MI 48201
Phone (313) 566-9051

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1851650782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051569",
            "telephone_number": "734-531-8299",
            "fax_number": "856-212-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051569",
            "telephone_number": "734-531-8299",
            "fax_number": "856-212-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSOUNI",
        "first_name": "GHADA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301110025",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301110025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.