Active NPI
Ahmed Saeed Mohammed Yeddi, M.D
- Internal Medicine Physician
- Caro, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301500955
- Practice address
- 1525 W Caro Rd
Caro, MI 48723-9686 - Phone
- (989) 860-0088
- Fax
- (989) 791-3859
- NPI assigned
- Apr 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 4301500955 | MI | Primary |
Addresses
Primary practice location
1525 W Caro Rd
Caro, MI 48723-9686
Mailing address
4201 Saint Antoine St Ste 2E
Detroit, MI 48201-2153
Phone (313) 745-4832
Other practice location 1
4201 Saint Antoine St Ste 2E
Detroit, MI 48201-2153
Phone (313) 745-4832
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 W Square Lake Rd
Suite 103
Bloomfield Hills, MI 48302-0466
Phone (248) 283-4000
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4064
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 338-5645
Hospital & facility affiliations
- Detroit Receiving Hospital
- Huron Valley-Sinai Hospital
- Trinity Health Oakland Hospital
- Karmanos Cancer Center
- Harper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301500955 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Wheels LLC | Current | Accepting new patients | |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Mercy Hospitalists, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Service of Michigan, LLC | Internal Medicine | Current | Accepting new patients |
| Barbara Ann Karmanos Cancer Hospital | Past | Accepting new patients | |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients | |
| VHS Detroit Receiving Hospital Inc | Past | Accepting new patients |
Locations
10 W Square Lake Rd
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 283-4000
4201 Saint Antoine St
Ste 2E
Detroit, MI 48201
Phone (313) 265-7525
4201 Saint Antoine St
Ste 6A
Detroit, MI 48201
Phone (313) 745-4230
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- ahmed.yeddi.1@19711.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1518186758
-
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield Hills, MI
- NPI 1790340958
Internal Medicine
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Non-emergency Medical Transport (VAN)
- Milan, MI
- NPI 1134986508
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1104359926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 2E",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "487239686",
"telephone_number": "989-860-0088",
"fax_number": "989-791-3859"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St Ste 2E",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEDDI",
"first_name": "AHMED",
"middle_name": "SAEED MOHAMMED",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-08",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301500955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.