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MRS. MARIAM HASSAN REDA MD
NPI 1023949922
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 28, 2026PECOS Enrolled
4260 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 647-5680 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mariam Hassan Reda Md NPPES

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

MRS. MARIAM HASSAN REDA MD (NPI 1023949922) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351055978) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023949922
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. MARIAM HASSAN REDACredential: MD
Location Address4260 PLYMOUTH RDAnn Arbor, MI 48109-2700
Mailing Address1200 E Hospital Drive D3230Ann Arbor, MI 48109 · (734) 647-1774
Phone(734) 647-5680
Sole ProprietorNo
Enumeration DateMay 28, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1023949922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351055978
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4260 PLYMOUTH RD, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mariam Hassan Reda Md 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.

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.

NINA K BIBICOFF NP
Nurse Practitioner
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6831
KATHERINE SABER SALISBURY MD
Internal Medicine (Geriatric Medicine)
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6831
ERIN KHANG LMSW
Social Worker (Clinical)
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 647-5655
REGENTS OF THE UNIVERSITY OF MICHIGAN
Audiologist
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 647-6591
VIKRAM GOVINDARAJU SHAKKOTTAI M.D.
Psychiatry & Neurology (Neurology)
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6831
JENNY N HSU MD
Internal Medicine
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 647-5650
MRS. SARAH REPP PETERSON A.N.P.
Nurse Practitioner
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 763-6295
NEAL WAYNE PERSKY MD
Internal Medicine (Geriatric Medicine)
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Reda's NPI number?

The NPI number for Mariam Reda is 1023949922. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Mariam Reda located?

Mariam Reda practices at 4260 Plymouth Rd, Ann Arbor, MI 48109. The listed phone number is (734) 647-5680.

What is Mariam Reda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mariam Reda enrolled in Medicare?

Yes. Mariam Reda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariam Reda was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.