MARIAM BEYDOUN – Nurse Practitioner, NPI 1245929587

MARIAM BEYDOUN is a healthcare provider. based in Dearborn heights, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704359368 (MI). The NPI Number for MARIAM BEYDOUN is 1245929587

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MARIAM BEYDOUN
NPI
1245929587
Phone
(313) 580-1954
Address
26516 LAWRENCE DR
Enumeration Date
3 May 2023
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137401111
Graduation Year
2022 (4 years ago)
PAC ID
8022475615
Group Practice PAC ID
2264792084
Professional Enrollment ID
I20230613003099
Address ID
MI481264124DE4700XRDXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MARIAM BEYDOUN

  • 26516 LAWRENCE DR

    DEARBORN HEIGHTS, MI 481273380

    Phone: (313) 580-1954

    Type: Mailing

  • 4700 GREENFIELD RD STE 2E

    DEARBORN, MI 481264124

    Phone: (313) 740-1111

    Fax: (313) 672-6241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $816.

Total Amount is formed as General ($816) + Research ($0) + Ownership ($0) = $816.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($304).

Total Amount

$816

General + Research + Ownership

Payments

40

Total payment records

General Amount

$816

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-13

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
I20230613003099INurse 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: 2264792084View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How is MARIAM BEYDOUN identified in CMS data?
CMS-hosted NPPES data lists MARIAM BEYDOUN with NPI 1245929587.
Does the file indicate MARIAM BEYDOUN is practicing under active NPI?
Directory data currently reports MARIAM BEYDOUN as active.
What is MARIAM BEYDOUN best known for clinically?
Directory data describes MARIAM BEYDOUN with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MARIAM BEYDOUN serve?
MARIAM BEYDOUN's listing highlights Dearborn Heights, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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