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NPISignal

Individual Healthcare Provider

Jaafer Beydoun

NPI Record: ActiveNurse Practitioner — Adult Health
NPI1083172878
Southfield, Michigan

Provider's NPPES record last updated: May 19, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1083172878
Primary Specialty
Nurse Practitioner — Adult Health
Practice Location
Southfield, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 3:10 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Adult Health

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LA2200X
  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X

Provider-Reported License Information

Nurse Practitioner (Michigan)
4704282698
Nurse Practitioner (Michigan)
4704282698
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

17515 W 9 Mile Rd Ste 740

Southfield, Michigan 48075-4413

Phone: (248) 353-2222

Additional Practice Location

17 S Saginaw St Fl 2

Pontiac, Michigan 48342-2227

Phone: (248) 771-1600

Additional Practice Location

43401 Schoenherr Rd

Sterling Heights, Michigan 48313-1961

Phone: (586) 488-3636

Additional Practice Location

17515 W 9 Mile Rd Ste 935

Southfield, Michigan 48075-4406

Phone: (248) 234-4972

Additional Practice Location

27789 Mound Rd Ste 200

Warren, Michigan 48092-2697

Phone: (602) 763-3273

Additional Practice Location

38221 Plymouth Rd Ste 3

Livonia, Michigan 48150-1051

Phone: (734) 221-0236

Fax: (734) 293-4240

Additional Practice Location

5456 15 Mile Rd Ste 101

Sterling Heights, Michigan 48310-5110

Phone: (586) 666-2407

Fax: (313) 572-0811

Additional Practice Location

6245 Inkster Rd Ste 102

Garden City, Michigan 48135-4001

Phone: (313) 572-0810

Fax: (313) 572-0811

Additional Practice Location

13530 Michigan Ave Ste 110

Dearborn, Michigan 48126-3575

Phone: (313) 572-0810

Fax: (313) 572-0811

Record Information

Enumeration Date
March 11, 2019
Provider's NPPES Record Last Updated
May 19, 2026
Certification Date
May 19, 2026
NPISignal NPPES Dataset
August 2026

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