SAMANTHA MOUSTAFA
NPI 1891367421
Physician Assistant in Dearborn Heights, MI

Active since July 13, 2021
22350 FORD RD, DEARBORN HEIGHTS, MI 48127(313) 406-2410 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Jul 13, 2021 (2 updates tracked since 2021).

About Samantha Moustafa NPPES

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

SAMANTHA MOUSTAFA (NPI 1891367421) is an individual physician assistant in Dearborn Heights, Michigan, licensed in Michigan (5601013550) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1891367421
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MOUSTAFA
Location Address22350 FORD RDDearborn Heights, MI 48127-2421
Mailing Address22350 Ford RdDearborn Heights, MI 48127-2421 · (313) 406-2410
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1891367421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601013550
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

22350 FORD RD, Dearborn Heights, MI 48127

Other Providers at the Same Location NPPES 9

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

Pediatrics (Adolescent Medicine)
22350 FORD RD
DEARBORN HEIGHTS, MI 48127
Pediatrics (Adolescent Medicine)
22350 FORD RD
DEARBORN HTS, MI 48127
Pediatrics
22350 FORD RD
DEARBORN HEIGHTS, MI 48127
Family Medicine
22350 FORD RD
DEARBORN HEIGHTS, MI 48127
Family Medicine
22350 FORD RD
DEARBORN HEIGHTS, MI 48127
Pediatrics (Adolescent Medicine)
22350 FORD RD
DEARBORN HEIGHTS, MI 48127
Physician Assistant
22350 FORD RD
DEARBORN HEIGHTS, MI 48127
Nurse Practitioner (Family)
22350 FORD RD
DEARBORN HEIGHTS, MI 48127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891367421, enumerated as an "individual" on July 13, 2021.

The provider is located at 22350 FORD RD DEARBORN HEIGHTS, MI 48127 and the phone number is (313) 406-2410.

Physician Assistant with taxonomy code 363A00000X.