MRS. HALLA KADOUH (FNP-BC) – Family Nurse Practitioner, NPI 1790465896

MRS. HALLA KADOUH (FNP-BC) is a healthcare provider. based in Dearborn heights, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704358905 (MI). The NPI Number for MRS. HALLA KADOUH (FNP-BC) is 1790465896

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HALLA KADOUH (FNP-BC)
NPI
1790465896
Phone
(313) 721-1785
Address
6888 N SILVERY LN
Enumeration Date
24 July 2023
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3137401111
Graduation Year
2023 (3 years ago)
PAC ID
8325485352
Group Practice PAC ID
2264792084
Professional Enrollment ID
I20240326001279
Address ID
MI481264124DE4700XRDXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. HALLA KADOUH (FNP-BC)

  • 6888 N SILVERY LN

    DEARBORN HEIGHTS, MI 481272141

    Phone: (313) 721-1785

    Type: Mailing

  • 4700 GREENFIELD RD STE 2E

    DEARBORN, MI 481264124

    Phone: (313) 740-1111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $562.

Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Nevro Corp. ($207).

Total Amount

$562

General + Research + Ownership

Payments

27

Total payment records

General Amount

$562

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2024-03-26

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
I20240326001279INurse 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
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What NPI should I save for MRS. HALLA KADOUH (FNP-BC)?
Save NPI 1790465896 if you need a stable reference for MRS. HALLA KADOUH (FNP-BC).
Is MRS. HALLA KADOUH (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. HALLA KADOUH (FNP-BC) work in?
You can think of MRS. HALLA KADOUH (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. HALLA KADOUH (FNP-BC)?
The snapshot lists Dearborn Heights, Michigan for MRS. HALLA KADOUH (FNP-BC); download NPPES for the complete set.
Is MRS. HALLA KADOUH (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1790465896. Always confirm identity and privileges with the practice and licensing boards.

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