Active NPI
Jailan Alaaeldin Elayoubi
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 2250545
- Practice address
- 18101 Oakwood Blvd
Dearborn, MI 48124-4089 - Phone
- (313) 982-5203
- Fax
- (313) 436-2071
- NPI assigned
- Jul 1, 2012
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2250545 | MI | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Mailing address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 982-5203
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1560 E Maple Rd
Troy, MI 48083-1135
Phone (248) 581-5200
261 Mack Ave
Detroit, MI 48201-2417
Phone (313) 745-4600
31995 Northwestern Hwy
Farmington Hills, MI 48334-1625
Phone (800) 527-6266
3980 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040
3990 John R St
Detroit, MI 48201-2018
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
4201 Saint Antoine St
Detroit, MI 48201-2153
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2250545 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 John R St
Bldg 1026
Detroit, MI 48201
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
19229 Mack Ave
Ste 34
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245
19229 Mack Ave
Ste 28
Grosse Pointe Woods, MI 48236
Phone (313) 647-3200
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
30550 Utica Rd
Roseville, MI 48066
Phone (586) 771-0290
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Social Worker
- Livonia, MI
- NPI 1154360402
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341100800000",
"number": "1962766253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-982-5203",
"fax_number": "313-436-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-982-5203",
"fax_number": "313-436-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAYOUBI",
"first_name": "JAILAN",
"middle_name": "ALAAELDIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-01",
"last_updated": "2012-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "2250545",
"primary": true
}
],
"identifiers": [],
"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 Jul 1, 2012; 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.