Individual provider Active NPI

Fatima Hamadi, NP

  • Family Nurse Practitioner
  • Flat Rock, MI
National Provider Identifier
1962162404
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704329356 Issued in MI
Practice address
23000 Telegraph Rd
Flat Rock, MI 48134-9265
Phone
(734) 304-4500
NPI assigned
Dec 24, 2021
Last updated
Dec 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 00000000000000000000 MI
Family Nurse Practitioner 363LF0000X 4704329356 MI Primary

Addresses

Primary practice location

23000 Telegraph Rd
Flat Rock, MI 48134-9265

Mailing address

4201 Bingham St
Dearborn, MI 48126-3610
Phone (313) 231-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Knee Centers LLCGroup PAC ID 3779990098, 5 clinicians

Practice addresses (Care Compare)

26631 Southfield Rd
Lathrup Village, MI 48076-4530
Phone (877) 266-7563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
00000000000000000000MIMDHealth Maintenance Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Insta Health PC PastSince Sep 17, 2023 Accepting new patients
Comprehensive Knee Centers LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1962162404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BINGHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263610",
            "telephone_number": "313-231-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 TELEGRAPH RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481349265",
            "telephone_number": "734-304-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADI",
        "first_name": "FATIMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "00000000000000000000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704329356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

Verify at the official NPI Registry.