Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EID TAHSINE EID FNP-BC
NPI 1013509553
Nurse Practitioner - Family in Southgate, MI

Q: What is Eid Eid's NPI number?

The NPI number for Eid Eid is 1013509553. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Q: What is Eid Eid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Eid Eid was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2021PECOS Enrolled

11275 ALLEN RD, SOUTHGATE, MI 48195(313) 383-7071(313) 383-7194 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2026, Feb 12, 2021, Feb 5, 2021 (3 updates tracked since 2021).

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About Eid Tahsine Eid Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EID TAHSINE EID FNP-BC (NPI 1013509553) is an individual family provider in Southgate, Michigan, licensed in Michigan (4704330225) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013509553

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameEID TAHSINE EIDCredential: FNP-BC

Location Address11275 ALLEN RDSouthgate, MI 48195-3380

Mailing Address6838 Hartwell StDearborn, MI 48126-1821 · (313) 377-5105

Phone(313) 383-7071

Fax(313) 383-7194

Sole ProprietorNo

Enumeration DateFebruary 5, 2021

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1013509553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704330225

11275 ALLEN RD, Southgate, MI 48195

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Secondary Practice Locations 2

Location 114825 Southfield RdAllen Park, MI 48101-2642 · Phone (313) 383-7071

Location 26838 Hartwell StDearborn, MI 48126-1821 · Phone (313) 377-5105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eid Tahsine Eid Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT ANTHONY BLACKBURN NP

Nurse Practitioner (Primary Care)