1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Physician Assistant
  6. NPI Profile

LAUREN FAKHRELDINE
NPI 1992697239
Physician Assistant - Medical in Southfield, MI

Active since July 21, 2025PECOS Enrolled
26400 W 12 MILE RD STE 170, SOUTHFIELD, MI 48034(248) 208-8787 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lauren Fakhreldine NPPES

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

LAUREN FAKHRELDINE (NPI 1992697239) is an individual medical provider in Southfield, Michigan and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992697239
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAUREN FAKHRELDINE
Location Address26400 W 12 MILE RD STE 170Southfield, MI 48034-1753
Mailing Address26400 W 12 Mile Rd Ste 170Southfield, MI 48034-1753
Phone(248) 208-8787
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 21, 2025
Last NPPES UpdateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1992697239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
26400 W 12 MILE RD STE 170, Southfield, MI 48034
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Fakhreldine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981174489
PECOS Enrollment IDI20260526002989
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.

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 Lauren Fakhreldine's NPI number?

The NPI number for Lauren Fakhreldine is 1992697239. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Lauren Fakhreldine located?

Lauren Fakhreldine practices at 26400 W 12 Mile Rd Ste 170, Southfield, MI 48034. The listed phone number is (248) 208-8787.

What is Lauren Fakhreldine's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lauren Fakhreldine enrolled in Medicare?

Yes. Lauren Fakhreldine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Fakhreldine was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.