NOUR MAKKAOUI MD
NPI 1740923804
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Nour Makkaoui's NPI number?

The NPI number for Nour Makkaoui is 1740923804. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Nour Makkaoui's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nour Makkaoui was last updated on April 18, 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.

Active since April 18, 2022PECOS Enrolled

3901 BEAUBIEN ST STE 3T72, DETROIT, MI 48201(313) 745-1892(313) 993-7118 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nour Makkaoui Md NPPES

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

NOUR MAKKAOUI MD (NPI 1740923804) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740923804

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNOUR MAKKAOUICredential: MD

Location Address3901 BEAUBIEN ST STE 3T72Detroit, MI 48201-2119

Mailing Address124 Glendale AveDecatur, GA 30030-6703 · (470) 237-6062

Phone(313) 745-1892

Fax(313) 993-7118

Sole ProprietorNo

Enumeration DateApril 18, 2022

NPPES CertifiedApril 18, 2022

✔ NPI 1740923804 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.

3901 BEAUBIEN ST STE 3T72, Detroit, MI 48201

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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)

Nour Makkaoui 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANSI KOTHARI

Student in an Organized Health Care Education/Training Program