Ahmed Badaoui, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704313183 Issued in MI

Practice address

6742 Park Ave
Allen Park, MI 48101-2034

Phone

(313) 928-2333

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Promed Preferred Mi 3, PLLC

  dba DocDash Visiting Providers

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1467258095
  Medicare reassignment

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1922668334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012034",
            "telephone_number": "313-928-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAOUI",
        "first_name": "AHMED",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704313183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Aune, PA-C
• Fatima Awada
• Zeina Awada, PHARMD
• Awan and Associates PC
• Muzaffar Khan Awan, M.D.
• Christina Ann Baisden, LCSW
• Katherine Balint, PTA
• Mark Robert Ballentine, D.D.S.
• Mary Elaine Barna, DPM PA
• Noah Collier Barstad

• Nurse Practitioner in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.