MASRURA QUAYOUM
NPI 1922705664
Nurse Practitioner - Family in Dearborn, MI

Q: What is Masrura Quayoum's NPI number?

The NPI number for Masrura Quayoum is 1922705664. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Masrura Quayoum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Masrura Quayoum was last updated on February 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2023PECOS EnrolledAccepts Medicare Assignment

7542 WYOMING ST, DEARBORN, MI 48126(313) 415-1515 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Masrura Quayoum NPPES

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

MASRURA QUAYOUM (NPI 1922705664) is an individual family provider in Dearborn, Michigan, licensed in Michigan (F11220869) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922705664

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMASRURA QUAYOUM

Location Address7542 WYOMING STDearborn, MI 48126-1690

Mailing Address56669 Scotland BlvdShelby Township, MI 48316-5037 · (313) 556-3197

Phone(313) 415-1515

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1922705664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · F11220869

7542 WYOMING ST, Dearborn, MI 48126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Masrura Quayoum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668845157

PECOS Enrollment IDI20230303000437

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

HOUDA MAHMOUD NP

Nurse Practitioner