NOUR ADRA MD
NPI 1336937739
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 28, 2025PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 966-0225 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nour Adra Md NPPES

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

NOUR ADRA MD (NPI 1336937739) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336937739
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNOUR ADRACredential: MD
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address1500 Locust St Apt 3907Philadelphia, PA 19102-4326 · (267) 301-7573
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1336937739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
4201 SAINT ANTOINE ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nour Adra 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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Nour Adra's NPI number?

The NPI number for Nour Adra is 1336937739. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Nour Adra located?

Nour Adra practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 966-0225.

What is Nour Adra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nour Adra enrolled in Medicare?

Yes. Nour Adra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nour Adra was last updated on April 28, 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.