FATIMA ALI EIDY (PA-C) – Physician Assistant, NPI 1780193748
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for FATIMA ALI EIDY (PA-C)
McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States
YPSILANTI, MI 481971051
Phone: (313) 445-2102
Fax: (313) 445-2102
Type: Location
7636, Hartwell Street, Dearborn, Wayne County, Michigan, 48126, United States
DEARBORN, MI 481261118
Phone: (313) 445-2102
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 141 Open Payments records for all available years, with a total value of $2,585.
Total Amount is formed as General ($2,585) + Research ($0) + Ownership ($0) = $2,585.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Corcept Therapeutics ($274).
Total Amount
$2,585
General + Research + Ownership
Payments
141
Total payment records
General Amount
$2,585
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corcept Therapeutics | $274 |
| Novo Nordisk Inc | $261 |
| PFIZER INC. | $215 |
| Lilly USA, LLC | $177 |
| GlaxoSmithKline, LLC. | $159 |
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: 2017-11-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171103001702 | I | Physician Assistant | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 14 | $0 |
Insurance plans in this area (ZIP 48197)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | MI | |
| Nurse Practitioner | MI | |
| General Practice | MI | |
| Internal Medicine, General Practice | MI |
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