MAYA GHANDOUR NP
NPI 1013629179
Nurse Practitioner - Acute Care in Detroit, MI

Q: What is Maya Ghandour's NPI number?

The NPI number for Maya Ghandour is 1013629179. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Q: What is Maya Ghandour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Maya Ghandour was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 December 20, 2022PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Apr 7, 2023, Jan 5, 2023 and 1 more (4 updates tracked since 2022).

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About Maya Ghandour Np NPPES

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

MAYA GHANDOUR NP (NPI 1013629179) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704354166) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013629179

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMAYA GHANDOURCredential: NP

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 653-6568

Phone(313) 916-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 20, 2022

Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1013629179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704354166

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704354166 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maya Ghandour Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860862828

PECOS Enrollment IDI20230109000927

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital