Active NPI
Greenfield Medical Center of Dearborn, P.C.
- Primary Care Clinic/Center
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 4301062443
- Legal business name
- GREENFIELD MEDICAL CENTER OF DEARBORN, P.C.
- Practice address
- 5220 Oakman Blvd
Dearborn, MI 48126-3318 - Phone
- (313) 581-2121
- Fax
- (313) 581-9206
- NPI assigned
- Mar 10, 2008
- Last updated
- Jan 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamad Khansa, M.D.
- Title
- Physician Owner
- Phone
- (313) 581-2121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4301062443 | MI | Primary |
Addresses
Primary practice location
5220 Oakman Blvd
Dearborn, MI 48126-3318
Mailing address
5220 Oakman Blvd
Dearborn, MI 48126-3318
Phone (313) 581-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0909591 | Greenfield Medical Center | Provider-performed microscopy | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1396782694
-
- Gynecology Physician
- Dearborn Heights, MI
- NPI 1700907144
-
- Advanced Practice Midwife
- Detroit, MI
- NPI 1619917168
-
- Psychiatry Physician
- Detroit, MI
- NPI 1306112776
-
- Family Nurse Practitioner
- Dearborn, MI
- NPI 1699410605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1033389606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263318",
"telephone_number": "313-581-2121",
"fax_number": "313-581-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263318",
"telephone_number": "313-581-2121",
"fax_number": "313-581-9206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENFIELD MEDICAL CENTER OF DEARBORN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "KHANSA",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "313-581-2121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "4301062443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.