Individual provider Active NPI

Adbah Mohamed, DO

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1083092563
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101024498 Issued in MI
Practice address
1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone
(586) 840-1333
Fax
(586) 840-1377
NPI assigned
May 15, 2015
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101024498 MI Primary

Addresses

Primary practice location

1921 E 8 Mile Rd
Warren, MI 48091-2402

Mailing address

1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 840-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607000550 MI Practitioner - Family Practice 3971816646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Physicians Group of Michigan, PLLCGroup PAC ID 1153735287, 13 clinicians

Practice addresses (Care Compare)

1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 840-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health PC CurrentSince Jun 3, 2019 Accepting new patients
Dedicated Physicians Group of Michigan, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

13210 E Jefferson Ave
Detroit, MI 48215
Phone (313) 335-3444

19020 Fort St
Riverview, MI 48193
Phone (313) 362-5100

1921 E 8 Mile Rd
Warren, MI 48091
Phone (586) 755-3046

Interoperability endpoints

  • Direct secure messaging: amohamed56994@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1083092563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333",
            "fax_number": "586-840-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333",
            "fax_number": "586-840-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ADBAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-12-28",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101024498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.