Dearborn Healthcare PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

RH065327 Issued in MI

Legal business name

DEARBORN HEALTHCARE PC

Practice address

10066 Dix
Dearborn, MI 48120-1551

Phone

(313) 849-4949

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Raya Hussain, MDNPI 1093817603

Title

Owner

Phone

(313) 849-4949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raya H Hussain, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1093817603

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Ali Rahim, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1114556347
  Medicare reassignment Care Compare group NPD
• Rania Hassan, NP

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1548408966
  Medicare reassignment NPD

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1871047795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 CLIFFWOOD RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022677",
            "telephone_number": "313-849-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10066 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201551",
            "telephone_number": "313-849-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "RAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-849-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RH065327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dearborn Family Pharmacy
• Dearborn Family Pharmacy LLC
• Dearborn Family Smiles PLLC
• Dearborn Fresh Pharmacy Inc
• Dearborn Gastroenterology
• Dearborn Hearing AIDS Inc
• Dearborn Hearing Center, LLC.
• Dearborn Heart & Vascular Associates PLLC
• Dearborn Internist P.C.
• Dearborn Kidney Center LLC

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.