Eyad Jadallah, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704275382 Issued in MI

Practice address

26621 Ashley St
Dearborn Heights, MI 48127-1906

Phone

(313) 575-2482

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quick Doc Urgent Care PLLCGroup PAC ID 1355870031, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Above & Beyond Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Wayne, MI
  • NPI 1255013553
  Medicare reassignment NPD Authorized official
• Quick Doc Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Hamtramck, MI
  • NPI 1376363879
  Medicare reassignment Care Compare group NPD
• HMC Urgent Care Wayne PLLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1679280507
  NPD
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1891242947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26621 ASHLEY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271906",
            "telephone_number": "313-575-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26621 ASHLEY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271906",
            "telephone_number": "313-575-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADALLAH",
        "first_name": "EYAD",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704275382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Healing Services LLC
• Tarick Iqal
• Rayyan Jaber, DDS
• Ame Jadallah, PA-C
• Dena Jadallah
• Lacey Jajko
• Farah Jalloul
• Ammar Jamal, DPT
• Aisha Javed-Khan, DMD
• Ibrahim A Jawad, M.D.

• Family Nurse Practitioner in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.