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DR. MARIAM SABAH NISSAN MD
NPI 1306630686
Student in an Organized Health Care Education/Training Program in Rochester, MI

Active since April 09, 2025PECOS Enrolled
1135 W UNIVERSITY DR STE 250, ROCHESTER, MI 48307(248) 652-5000 Get Directions Write a Review

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

About Dr. Mariam Sabah Nissan Md NPPES

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

DR. MARIAM SABAH NISSAN MD (NPI 1306630686) is an individual student in an organized health care education/training program in Rochester, Michigan, licensed in (PENDING) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306630686
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARIAM SABAH NISSANCredential: MD
Location Address1135 W UNIVERSITY DR STE 250Rochester, MI 48307-1886
Mailing Address1135 W University Dr Ste 250Rochester, MI 48307-1886
Phone(248) 652-5000
Sole ProprietorYes
Enumeration DateApril 9, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1306630686 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 · PENDING
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.
1135 W UNIVERSITY DR STE 250, Rochester, MI 48307
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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)

Dr. Mariam Sabah Nissan 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.

HEIDI HILTON KOSCH D.O.
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
ELEANOR KING M.D.
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
BRANDELYN RACHAEL KELLY MD
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER HILLS, MI 48307
Oakland County (248) 601-4900
AMNA ZAHIR AL-JAWHER
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
UDDAMPREET SINGH ARORA
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 652-5000
SUSAN AZZARO SIMPSON LLMSW
Social Worker
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
DR. HARDEEP SINGH GARCHA MD
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 601-4900
DR. CANDIS M JARBO DO
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301

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 Nissan's NPI number?

The NPI number for Mariam Nissan is 1306630686. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Mariam Nissan located?

Mariam Nissan practices at 1135 W University Dr Ste 250, Rochester, MI 48307. The listed phone number is (248) 652-5000.

What is Mariam Nissan'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 Nissan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mariam Nissan was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.