Individual provider Active NPI

Faryal Durrani, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Detroit, MI
National Provider Identifier
1912113390
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
4301503635 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(800) 653-6568
Fax
(313) 916-9485
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301503635 MI
Neonatal-Perinatal Medicine Physician 2080N0001X MD435026 PA
Neonatal-Perinatal Medicine Physician 2080N0001X D71713 MD
Neonatal-Perinatal Medicine Physician 2080N0001X 4301503635 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181128003566 PA Practitioner - Pediatric Medicine 8022352244 Reassigns benefits to 3 organizations
I20210224000153 MI Practitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 8022352244 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D71713MDMDNeonatal-Perinatal Medicine Physician
MD435026PAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Pediatrics CurrentSince Jan 21, 2020 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 5, 2018 Accepting new patients
Henry Ford Health System Current Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2021 Accepting new patients
Henry Ford Macomb Hospital Corporation Pediatrics Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Phoenixville Clinic Company LLC Neonatal-Perinatal Medicine CurrentSince Mar 18, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Henry Ford Health System Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Henry Ford Health System CurrentSince Jan 1, 2021 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Mar 18, 2020 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 5, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 21, 2020 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients
Mohsin Ansari MD Faap PC Pediatrics Past Accepting new patients
Henry Ford Health System Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Fl 3
Chester, PA 19013
Phone (610) 447-6666

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: fdurrani704212@direct.hfhs.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1912113390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "800-653-6568",
            "fax_number": "313-916-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANI",
        "first_name": "FARYAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301503635",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD435026",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D71713",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301503635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.