Active NPI
Catherine A Draus, N.P.
- Nurse Practitioner
- Dearborn, MI
National Provider Identifier
1962438499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704132047
- Practice address
- 22060 Beech St
Dearborn, MI 48124-2847 - Phone
- (313) 563-3640
- Fax
- (313) 563-0459
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704132047 | MI | Primary |
Addresses
Primary practice location
22060 Beech St
Dearborn, MI 48124-2847
Mailing address
22060 Beech St
Dearborn, MI 48124-2847
Phone (313) 563-3640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008600860 | Other | MI | BLUECROSSBLUESHIELD OF MI |
| 4762369 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samir Dabbous, M.D., P.C. | Nurse Practitioner | Past | Accepting new patients |
| SD Cardiovascular P C | Past | Accepting new patients |
Interoperability endpoints
- cdraus286268@direct.hfhs.org
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Dearborn, MI
- NPI 1629004171
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Dearborn, MI
- NPI 1225312895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1962438499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22060 BEECH ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242847",
"telephone_number": "313-563-3640",
"fax_number": "313-563-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22060 BEECH ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242847",
"telephone_number": "313-563-3640",
"fax_number": "313-563-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAUS",
"first_name": "CATHERINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704132047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF MI",
"identifier": "5008600860",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4762369",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.