Individual provider Active NPI

Palwasha Rahman Syed, FNP

  • Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1871365288
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704342891 Issued in MI
Practice address
29829 Telegraph Rd
Southfield, MI 48034-1330
Phone
(248) 354-3236
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 4704342891 MI Primary

Addresses

Primary practice location

29829 Telegraph Rd
Southfield, MI 48034-1330

Mailing address

29829 Telegraph Rd Ste 202
Southfield, MI 48034-7656
Phone (248) 354-3236

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
I20240111004396 MI Practitioner - Nurse Practitioner 5496106668 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Humera Athar MD PLC CurrentSince Nov 5, 2023 Accepting new patients
Center for Hand & Extremity Reconstructive Surgery, PLC CurrentSince Jan 1, 2024 Accepting new patients
Kidney Specialists of Michigan CurrentSince Jan 1, 2024 Accepting new patients

Locations

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

29829 Telegraph Rd
Southfield, MI 48034
Phone (248) 352-4263

29829 Telegraph Rd
Ste 201
Southfield, MI 48034
Phone (248) 352-4263

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1871365288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347656",
            "telephone_number": "248-354-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-354-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "PALWASHA",
        "middle_name": "RAHMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704342891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.