MOHAMED NOUREDDINE MD
NPI 1447955141
Student in an Organized Health Care Education/Training Program in Livonia, MI

Q: What is Mohamed Noureddine's NPI number?

The NPI number for Mohamed Noureddine is 1447955141. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Mohamed Noureddine's specialty?

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

Active since April 03, 2023PECOS Enrolled

36475 FIVE MILE RD, LIVONIA, MI 48154(734) 853-5690 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mohamed Noureddine Md NPPES

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

MOHAMED NOUREDDINE MD (NPI 1447955141) is an individual student in an organized health care education/training program in Livonia, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447955141

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMOHAMED NOUREDDINECredential: MD

Location Address36475 FIVE MILE RDLivonia, MI 48154-1971

Mailing Address728 N Charlesworth StDearborn Heights, MI 48127-3612 · (313) 478-7550

Phone(734) 853-5690

Sole ProprietorYes

Enumeration DateApril 3, 2023

NPPES CertifiedApril 2, 2023

✔ NPI 1447955141 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

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.

36475 FIVE MILE RD, Livonia, MI 48154

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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)

Mohamed Noureddine 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.

MS. ANDREA NICOLE YURCAK PA-C

Physician Assistant