Active NPI
Mohammad Ali Katout, MD
- Internal Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301092066
- Practice address
- 401 S Ballenger Hwy
Flint, MI 48532-3638 - Phone
- (810) 720-3980
- Fax
- (810) 720-3970
- NPI assigned
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301092066 | MI | Primary |
Addresses
Primary practice location
401 S Ballenger Hwy
Flint, MI 48532-3638
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130904000735 | OH | Practitioner - Nephrology | 2062655467 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kidney Care Specialists, LLC
Practice addresses (Care Compare)
1362 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 643-0015
Hospital & facility affiliations
- DaVita Southwest Ohio Dialysis
- Soin Medical Center
- Kettering Health Main Campus
- Kettering Health Dayton
- Kettering Health Greene Memorial
- Kettering Health Miamisburg
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092066 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Specialists, LLC | Current | Accepting new patients | |
| Morrison and Ahmad, MD'S, Inc. | Past | Accepting new patients |
Locations
1911 N Fairfield Rd
Ste 110
Beavercreek, OH 45432
Phone (937) 376-2571
105 E Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-1174
1362 E Stroop Rd
Kettering, OH 45429
Phone (937) 376-2571
1675 Alex Dr
Wilmington, OH 45177
Phone (937) 283-8980
215 S Allison Ave
Xenia, OH 45385
Phone (937) 352-6490
Interoperability endpoints
- mahammad.katout@direct.davitaphysiciansolutions.com
- mokatout@yourcarecommunity.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Xenia, OH
- NPI 1275754301
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Xenia, OH
- NPI 1477517571
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1033375464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-1000",
"fax_number": "810-342-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-720-3980",
"fax_number": "810-720-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATOUT",
"first_name": "MOHAMMAD",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301092066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.