Individual provider Active NPI

Maryam Rban, FNP-C

  • Nurse Practitioner
  • Novi, MI
National Provider Identifier
1932057809
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704395138 Issued in MI
Practice address
26850 Providence Pkwy Ste 325
Novi, MI 48374-1260
Phone
(248) 348-9000
NPI assigned
Mar 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704395138 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 325
Novi, MI 48374-1260

Mailing address

39115 Lancaster Dr
Farmington Hills, MI 48331-1659

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
I20260625000269 MI Practitioner - Nurse Practitioner 8729551304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

5280 Metropolitan Pkwy
Suite 400
Sterling Heights, MI 48310-4005
Phone 24829031111713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704395138MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Kidney Consultants, P.C. CurrentSince May 12, 2026 Accepting new patients

Locations

26850 Providence Pkwy
Ste 325
Novi, MI 48374
Phone (248) 348-9000

26255 Greenfield Rd
Southfield, MI 48076
Phone (248) 541-7801

5280 Metropolitan Pkwy
Ste 400
Sterling Heights, MI 48310
Phone 24829031111713

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1932057809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39115 LANCASTER DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 325",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741260",
            "telephone_number": "248-348-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RBAN",
        "first_name": "MARYAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704395138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.