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

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: October 18, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Livewell Medical Group PLLC
7.3 mi
Internal Medicine
3611 CARPENTER ST STE 5
Hamtramck, MI 48212
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1043096688 (313) 733-8286
Procare Partners Health PLLC
7.3 mi
Nephrology
3611 CARPENTER ST STE 5
Detroit, MI 48212
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1528601952 (313) 733-8286

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 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.

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)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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 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.

Where is Latifa Tabou located?

Latifa Tabou practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.

What is Latifa Tabou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latifa Tabou enrolled in Medicare?

Yes. Latifa Tabou is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Latifa Tabou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latifa Tabou reassigns Medicare benefits to 2 organizations: Livewell Medical Group PLLC (Hamtramck, MI) and Procare Partners Health PLLC (Detroit, 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 Latifa Tabou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latifa Tabou accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Latifa Tabou 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 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 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.