NPIMap

Individual provider Active NPI

Abdullahi Elsheikh Mahgoub, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1093371999
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301509246 Issued in MI
Practice address
1 Hurley PLZ
Flint, MI 48503-5902
Phone
(810) 262-9000
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Internal Medicine Physician 207R00000X 4301509246 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Flint, MI 48503-5902

Mailing address

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-9000

Other names 1

  • Abdullahi Elsheikh Mahjoub Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230517003362 MI Practitioner - Internal MedicinePractitioner - Hospitalist 1951767987 Reassigns benefits to 4 organizations
I20231030001652 MD Practitioner - Internal MedicinePractitioner - Hospitalist 1951767987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at BWMC LLCGroup PAC ID 7315106184, 77 clinicians

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
81.47
Improvement activities
40
Cost
75.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509246MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Internal Medicine Current Accepting new patients
Aspirus Keweenaw CurrentSince Jun 1, 2023 Accepting new patients
Aspirus Keweenaw CurrentSince Jun 1, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

Interoperability endpoints

  • Direct secure messaging: amahgoub1066150@direct.umm.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1093371999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGOUB",
        "first_name": "ABDULLAHI",
        "middle_name": "ELSHEIKH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301509246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDULLAHI",
            "last_name": "MAHJOUB",
            "middle_name": "ELSHEIKH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.