Individual provider Active NPI

Mariam Subeih

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1972288892
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704362800 Issued in MI
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

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000792 MI Practitioner - Nurse Practitioner 7719347145 Reassigns benefits to 2 organizations

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
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

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

OrganizationSpecialtyStatusNew patients
Pulse Primary Care PLLC CurrentSince Feb 9, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 1, 2023 Accepting new patients
Senior Care Medical Group PLLC CurrentSince Feb 9, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jul 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.