Individual provider Active NPI

Noor Omar Elmasri

  • Physician Assistant
  • Taylor, MI
National Provider Identifier
1982417820
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862
Phone
(734) 374-1112
Fax
(734) 374-1119
NPI assigned
Jan 27, 2025
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862

Mailing address

11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862
Phone (734) 374-1112

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
I20260224000286 MI Practitioner - Physician Assistant 7517448046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Neuroscience Clinic PLLCGroup PAC ID 8820227945, 6 clinicians

Practice addresses (Care Compare)

11780 Telegraph Rd
Suite 100
Taylor, MI 48180-6862
Phone (734) 374-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neuroscience Clinic PLLC CurrentSince Jan 29, 2026 Accepting new patients

Locations

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

11780 Telegraph Rd
Ste 100
Taylor, MI 48180
Phone (734) 374-1112

12701 Telegraph Rd
Ste 210
Taylor, MI 48180
Phone (734) 251-3432

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAICA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1982417820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 TELEGRAPH RD STE 100",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806862",
            "telephone_number": "734-374-1112",
            "fax_number": "734-374-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 TELEGRAPH RD STE 100",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806862",
            "telephone_number": "734-374-1112",
            "fax_number": "734-374-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR ELMASRI",
        "first_name": "NOOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.