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BATOUL BAYRAM AGPCNP
NPI 1053290395
Nurse Practitioner in Dearborn Heights, MI

Active since August 30, 2025PECOS Enrolled
21018 FAIRVIEW DR, DEARBORN HEIGHTS, MI 48127(313) 415-5595 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Batoul Bayram Agpcnp NPPES

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

BATOUL BAYRAM AGPCNP (NPI 1053290395) is an individual nurse practitioner in Dearborn Heights, Michigan, licensed in Michigan (4704323649NSA250PK) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053290395
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBATOUL BAYRAMCredential: AGPCNP
Location Address21018 FAIRVIEW DRDearborn Heights, MI 48127-2645
Mailing Address21018 Fairview DrDearborn Heights, MI 48127-2645 · (313) 415-5595
Phone(313) 415-5595
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 30, 2025
NPPES CertifiedAugust 30, 2025
✔ NPI 1053290395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704323649NSA250PK
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
21018 FAIRVIEW DR, Dearborn Heights, MI 48127
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Batoul Bayram Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719473982
PECOS Enrollment IDI20251226001978
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Batoul Bayram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Platinum Primary Care, PLLC
1.3 mi
Internal Medicine
23420 FORD RD STE 100
Dearborn Heights, MI 48127
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1124973052 (313) 203-5310
Alzohaili Medical Consultants MD PC
1.5 mi
Endocrinology, Diabetes & Metabolism
5250 AUTO CLUB DR STE 200
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 31 clinicians in this Medicare group
NPI 1689979569 (313) 914-5591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48127 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.

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 Batoul Bayram's NPI number?

The NPI number for Batoul Bayram is 1053290395. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Where is Batoul Bayram located?

Batoul Bayram practices at 21018 Fairview Dr, Dearborn Heights, MI 48127. The listed phone number is (313) 415-5595.

What is Batoul Bayram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Batoul Bayram enrolled in Medicare?

Yes. Batoul Bayram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Batoul Bayram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Batoul Bayram reassigns Medicare benefits to 2 organizations: Platinum Primary Care, PLLC (Dearborn Heights, MI) and Alzohaili Medical Consultants MD PC (Dearborn, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Batoul Bayram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Batoul Bayram accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Batoul Bayram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Batoul Bayram was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.