Individual provider Active NPI

Sarah Duriah Naamou, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1861037335
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009518 Issued in MI
Practice address
6450 Maple St
Dearborn, MI 48126-2259
Phone
(313) 216-2200
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009518 MI Primary

Addresses

Primary practice location

6450 Maple St
Dearborn, MI 48126-2259

Mailing address

24885 Orchid St
Harrison Township, MI 48045-3365
Phone (248) 722-9168

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
I20200124000441 MI Practitioner - Physician Assistant 8921433772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access IpaGroup PAC ID 4486736220, 5 clinicians

Practice addresses (Care Compare)

6450 Maple St
Dearborn, MI 48126-2259
Phone (313) 216-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arab Community Center for Economic and Social Services Access PastSince Jan 4, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarahnaamou@accessmedicalcenter.medentdirect.com

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1861037335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24885 ORCHID ST",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480453365",
            "telephone_number": "248-722-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262259",
            "telephone_number": "313-216-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAAMOU",
        "first_name": "SARAH",
        "middle_name": "DURIAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.