Organization Active NPI

Hussein a Huraibi MD PLLC

  • Pain Medicine Physician
  • Dearborn, MI
National Provider Identifier
1881077733
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
4301066286 Issued in MI
Legal business name
HUSSEIN A HURAIBI MD PLLC
Practice address
13530 Michigan Ave Ste 190
Dearborn, MI 48126-3574
Phone
(313) 486-1030
Fax
(313) 731-1646
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Dr. Hussein A Huraibi, MD
Title
Owner/Provider
Phone
(734) 732-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 4301066286 MI Primary

Addresses

Primary practice location

13530 Michigan Ave Ste 190
Dearborn, MI 48126-3574

Mailing address

11650 Belleville Rd Ste 105
Van Buren TWP, MI 48111-3382
Phone (734) 732-4181

Other practice location 1

11650 Belleville Rd
Belleville, MI 48111-3380
Phone (734) 732-4181

National Provider Directory

National Provider Directory

Locations

13520 Michigan Ave
Dearborn, MI 48126
Phone (313) 486-1030

13530 Michigan Ave
Ste 190
Dearborn, MI 48126
Phone (313) 486-1030

29110 Inkster Rd
Ste 110
Southfield, MI 48034
Phone (248) 797-4040

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1881077733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD STE 105",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113382",
            "telephone_number": "734-732-4181",
            "fax_number": "248-796-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 190",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "313-486-1030",
            "fax_number": "313-731-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 Belleville Rd",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "MI",
            "postal_code": "481113380",
            "country_code": "US",
            "telephone_number": "734-732-4181",
            "fax_number": "248-796-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUSSEIN A HURAIBI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "HURAIBI",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "734-732-4181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301066286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.