KEFAH ABBAS MAZLOUM – Family Nurse Practitioner, NPI 1356093553
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for KEFAH ABBAS MAZLOUM
25325 Ford Rd Ste 200
Dearborn, MI 481281086
Phone: (313) 887-7774
Type: Location
5446 Bingham St
Dearborn, MI 481263306
Phone: (313) 358-0203
Type: Location
2799 W Grand Blvd
Detroit, MI 482022608
Phone: (800) 653-6568
Type: Location
5446 BINGHAM ST
DEARBORN, MI 481263306
Phone: (313) 358-0203
Type: Mailing
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone:
Type: Mailing
205 N EAST AVE
JACKSON, MI 492011753
Phone: (517) 205-7836
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $3,343.
Total Amount is formed as General ($360) + Research ($2,983) + Ownership ($0) = $3,343.
Last reported payment date: 2024-02-16 • Largest payer in this snapshot: Lexicon Pharmaceuticals, Inc. ($1,567).
Total Amount
$3,343
General + Research + Ownership
Payments
14
Total payment records
General Amount
$360
General payments
Research Amount
$2,983
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lexicon Pharmaceuticals, Inc. | $1,567 |
| SANOFI PASTEUR INC. | $1,417 |
| ModernaTX, Inc. | $325 |
| PFIZER INC. | $35 |
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: 2025-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230418002490 | I | Nurse Practitioner | MI | TBD |
| I20250913000803 | I | Nurse Practitioner | FL | TBD |
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.
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 48128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Physician Assistant | PA | |
| Physician Assistant | FL | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
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