KHALIL MUSTAPHA HAMADI (FNP-C) – Family Nurse Practitioner, NPI 1184445132

KHALIL MUSTAPHA HAMADI (FNP-C) is a healthcare provider. based in Dearborn heights, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704317741 (MI). The NPI Number for KHALIL MUSTAPHA HAMADI (FNP-C) is 1184445132

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KHALIL MUSTAPHA HAMADI (FNP-C)
NPI
1184445132
Phone
(313) 467-2243
Address
6131 N ELIZABETH ST
Enumeration Date
22 October 2024
Last Update Date
22 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488640100
Graduation Year
2024 (2 years ago)
PAC ID
7517492812
Group Practice PAC ID
8729475207
Professional Enrollment ID
I20241122003897
Address ID
MI483903907CO39450RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KHALIL MUSTAPHA HAMADI (FNP-C)

  • 6131 N ELIZABETH ST

    DEARBORN HEIGHTS, MI 481272314

    Phone: (313) 467-2243

    Type: Mailing

  • 39450 W 14 MILE RD

    COMMERCE TOWNSHIP, MI 483903907

    Phone: (248) 864-0010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241122003897INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729475207View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Family PracticeMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference KHALIL MUSTAPHA HAMADI (FNP-C)?
For KHALIL MUSTAPHA HAMADI (FNP-C), use NPI 1184445132 as the unique 10-digit identifier.
Active or inactive — what applies to KHALIL MUSTAPHA HAMADI (FNP-C)?
You should see KHALIL MUSTAPHA HAMADI (FNP-C) as active in CMS-hosted NPPES data.
What expertise is attributed to KHALIL MUSTAPHA HAMADI (FNP-C)?
KHALIL MUSTAPHA HAMADI (FNP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KHALIL MUSTAPHA HAMADI (FNP-C) located near Dearborn Heights?
KHALIL MUSTAPHA HAMADI (FNP-C) currently maps to Dearborn Heights, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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