Active NPI
Mariam Subeih
- Family Nurse Practitioner
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704362800
- Practice address
- 15400 Michigan Ave Ste 1
Dearborn, MI 48126-3491 - Phone
- (313) 584-3359
- NPI assigned
- Jun 19, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704362800 | MI | Primary |
Addresses
Primary practice location
15400 Michigan Ave Ste 1
Dearborn, MI 48126-3491
Mailing address
15400 Michigan Ave Ste 1
Dearborn, MI 48126-3491
Phone (313) 584-3359
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15474 N Haggerty Rd
Plymouth, MI 48170-4893
Phone (734) 335-6103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulse Primary Care PLLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Senior Care Medical Group PLLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767
36555 26 Mile Rd
Ste 3600
Lenox, MI 48048
Phone (313) 207-5767
15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103
1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGHDD
Organizations & group practices 5
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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
MI
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1285660571
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1225613870
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1972288892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15400 MICHIGAN AVE STE 1",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263491",
"telephone_number": "313-584-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 MICHIGAN AVE STE 1",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263491",
"telephone_number": "313-584-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBEIH",
"first_name": "MARIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704362800",
"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 Mar 11, 2024; 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.