AMJED B JADALLAH
NPI 1518690874
Nurse Practitioner - Family in Hamtramck, MI
About Amjed B Jadallah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMJED B JADALLAH (NPI 1518690874) is an individual family provider in Hamtramck, Michigan, licensed in Michigan (4704362677) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amjed B Jadallah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Amjed Jadallah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48212
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48212
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 Amjed Jadallah's NPI number?
The NPI number for Amjed Jadallah is 1518690874. It was assigned to this individual provider in the NPPES registry on July 5, 2022.
Where is Amjed Jadallah located?
Amjed Jadallah practices at 3611 Carpenter St, Hamtramck, MI 48212. The listed phone number is (313) 733-8286.
What is Amjed Jadallah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amjed Jadallah enrolled in Medicare?
Yes. Amjed Jadallah is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amjed Jadallah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amjed Jadallah reassigns Medicare benefits to 2 organizations: Procare Partners Health PLLC (Detroit, MI) and Mvp Endovascular Center PLLC (Dearborn, 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 Amjed Jadallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amjed Jadallah accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Amjed Jadallah 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 Amjed Jadallah was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Amjed B Jadallah · NPI 1518690874
Family physician in Hamtramck, Michigan. Individual provider, active in the CMS NPPES registry since July 5, 2022.
## Identity
- **NPI:** 1518690874 (Entity type: Individual)
- **Enumerated:** July 5, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704362677 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3611 CARPENTER ST, Hamtramck, MI 48212-2784
- **Phone:** (313) 733-8286
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Procare Partners Health PLLC (NPI 1528601952, Detroit, MI); Mvp Endovascular Center PLLC (NPI 1194202234, Dearborn, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1518690874) · Data from the CMS NPPES public registry.