Individual provider Active NPI

Nawres Al-Ghazaly, FNP-BC

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1902564065
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704346333 Issued in MI
Practice address
23832 Southfield Rd
Southfield, MI 48075-8000
Phone
(248) 569-2600
Fax
(248) 569-2610
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704346333 MI Primary

Addresses

Primary practice location

23832 Southfield Rd
Southfield, MI 48075-8000

Mailing address

23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 569-2600

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
I20240603003634 MI Practitioner - Nurse Practitioner 8628510823 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Get Well Urgent Care Dearborn PLCGroup PAC ID 7911373170, 18 clinicians
Get Well Urgent Care Dearborn Heights PLCGroup PAC ID 7012362833, 17 clinicians

Practice addresses (Care Compare)

13244 W Warren Ave
Dearborn, MI 48126-1415
Phone (313) 380-1200

24950 W Warren St
Dearborn Heights, MI 48127-2143
Phone (313) 595-2000

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704346333MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Taylor PLC CurrentSince Apr 24, 2024 Accepting new patients
Get Well Urgent Care Dearborn PLC CurrentSince Apr 24, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Apr 24, 2024 Accepting new patients
Southfield City Urgent Care PC CurrentSince Apr 24, 2024 Accepting new patients
Get Well Urgent Care Dearborn Heights PLC CurrentSince Apr 24, 2024 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200

24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

20202 Eureka Rd
Taylor, MI 48180
Phone (734) 589-1300

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1902564065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758000",
            "telephone_number": "248-569-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758000",
            "telephone_number": "248-569-2600",
            "fax_number": "248-569-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-GHAZALY",
        "first_name": "NAWRES",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704346333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.