Individual provider Active NPI

Jailan Alaaeldin Elayoubi

  • Geriatric Medicine (Internal Medicine) Physician
  • Dearborn, MI
National Provider Identifier
1962766253
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2250545 Issued in MI
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

Updated by the provider on Jul 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712003371 MI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2668741273 Reassigns benefits to 2 organizations

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
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

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

LicenseStateTypeSpecialty
2250545MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Ann Karmanos Cancer Institute CurrentSince Oct 18, 2024 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Oct 18, 2024 Accepting new patients
University Physician Group CurrentSince Apr 14, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.