LATIFA TABOU FNP-C
NPI 1245105287
Nurse Practitioner - Family in Detroit, MI

Q: What is Latifa Tabou's NPI number?

The NPI number for Latifa Tabou is 1245105287. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Q: What is Latifa Tabou'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 Latifa Tabou was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 08, 2025PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Latifa Tabou Fnp-c NPPES

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

LATIFA TABOU FNP-C (NPI 1245105287) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704352845) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245105287

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATIFA TABOUCredential: FNP-C

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address2270 Norwalk StHamtramck, MI 48212-3818

Phone(313) 343-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 8, 2025

Last NPPES UpdateOctober 9, 2025

NPPES CertifiedOctober 9, 2025

✔ NPI 1245105287 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 · 4704352845

22101 MOROSS RD, Detroit, MI 48236

Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latifa Tabou Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375037161

PECOS Enrollment IDI20251209003854

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 48236 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.

Leave this field empty

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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)