MUSTAPHA BAYRAM
NPI 1073484168
Nurse Practitioner - Family in Ann Arbor, MI
About Mustapha Bayram NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSTAPHA BAYRAM (NPI 1073484168) is an individual family provider in Ann Arbor, Michigan, licensed in Michigan (4704351724) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mustapha Bayram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mustapha Bayram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dearborn Heights, MI 48127
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
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 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48104
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 Mustapha Bayram's NPI number?
The NPI number for Mustapha Bayram is 1073484168. It was assigned to this individual provider in the NPPES registry on September 13, 2025.
Where is Mustapha Bayram located?
Mustapha Bayram practices at 1000 E Stadium Blvd, Ann Arbor, MI 48104. The listed phone number is (734) 769-3333.
What is Mustapha Bayram's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mustapha Bayram enrolled in Medicare?
Yes. Mustapha Bayram is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mustapha Bayram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mustapha Bayram reassigns Medicare benefits to Platinum Primary Care, PLLC (Dearborn Heights, MI). The 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 Mustapha Bayram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mustapha Bayram was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mustapha Bayram · NPI 1073484168
Family physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since September 13, 2025.
## Identity
- **NPI:** 1073484168 (Entity type: Individual)
- **Enumerated:** September 13, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704351724 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E STADIUM BLVD, Ann Arbor, MI 48104-4616
- **Phone:** (734) 769-3333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Platinum Primary Care, PLLC (NPI 1124973052, Dearborn Heights, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073484168) · Data from the CMS NPPES public registry.