Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heba Samra

Individual provider Physician Assistant · NPI 1558168062

Heba Samra is a Physician Assistant in Jackson, Michigan. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

1100 E Michigan Ave Ste 205
Jackson, MI 49201-1800
Phone: (517) 205-7618
Fax: (517) 205-7639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25201 Michigan Ave, Dearborn, MI 48124-1714 — (313) 438-6466

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012948

Record details

NPI number1558168062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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