Mid Michigan Gastroenterology Associates

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301104217 Issued in MI

Legal business name

MID MICHIGAN GASTROENTEROLOGY ASSOCIATES

Practice address

6240 Rashelle Dr Ste 204
Flint, MI 48507-3935

Phone

(810) 733-6300

Fax

(810) 733-6344

NPI assigned

Oct 29, 2013

Last updated

Apr 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mamoon Mahgoub Elbedawi, MDNPI 1770662553

Title

Owner

Phone

(810) 733-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mamoon M Elbedawi, MD

  • Gastroenterology Physician
  • Flint, MI
  • NPI 1770662553
  Medicare reassignment Care Compare group NPD Authorized official
• Adil Abubaker Abdalla, M.D.

  • Gastroenterology Physician
  • Flint, MI
  • NPI 1245215292
  Medicare reassignment Care Compare group NPD
• Hannah Elizabeth Blades, AGACNP

  • Acute Care Nurse Practitioner
  • Linden, MI
  • NPI 1588267611
  Medicare reassignment NPD
• Julia Ann Briggs, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Birch Run, MI
  • NPI 1962168591
  Medicare reassignment NPD
• Amy L Henson, NP

  • Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1205879731
  Medicare reassignment NPD
• Stephanie L Ostrander, FNP

  • Family Nurse Practitioner
  • Flint, MI
  • NPI 1932768744
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1003244120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 RASHELLE DR STE 204",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073935",
            "telephone_number": "810-733-6300",
            "fax_number": "810-733-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 RASHELLE DR STE 204",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073935",
            "telephone_number": "810-733-6300",
            "fax_number": "810-733-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "ELBEDAWI",
        "authorized_official_first_name": "MAMOON",
        "authorized_official_middle_name": "MAHGOUB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301104217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Vision Institute PLLC (Michigan Vision Institute)
• Michigan Visiting Physicians (Great Lakes Portable Diagnostics)
• Mid Michigan Diagnostic Corp
• Mid Michigan Diagnostic Corp
• Mid Michigan Diagnostic Corp
• Mid Michigan Home Health and Hospice LLC
• Mid Michigan Home Health Care,Inc
• Mid-Michigan Cardiology Associates PLC
• Mid-Michigan Endoscopy Center, PLLC (Charter Endoscopy Center)
• Mid-Michigan Kidney and Hypertension Specialists, P.C.

• Gastroenterology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.