Motahar Hossain Ahmed – General Practice Physician

Key facts

NPI: 1104931385
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Physician 208D00000X
License: 4301089057 (MI)
Practice address: 9632 Conant St
Hamtramck, MI 48212-3305
Phone: (313) 871-1912
Fax: (313) 871-1914
NPI assigned: Aug 20, 2006
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Hamtramck General Medical Practice PLLC Primary Care Clinic/Center · Hamtramck, MI · NPI 1295074409

Medicare reassignment NPD MI
Lekana Inpatient Services Internal Medicine Physician · Voorhees, NJ · NPI 1992834469

NPD (past)
Lerna Inpatient Services Internal Medicine Physician · Marlton, NJ · NPI 1336278811

NPD (past)

Hospital & facility affiliations 3

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

William Beaumont Hospital General Acute Care Hospital · Troy, MI · NPI 1306825997

Care Compare affiliation Hospital
William Beaumont Hospital General Acute Care Hospital · Royal Oak, MI · NPI 1689653305

Care Compare affiliation Hospital
William Beaumont Hospital General Acute Care Hospital · Grosse Pointe, MI · NPI 1932396017

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: General Practice
Education: Other, 1985
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services

Practice addresses (Care Compare)

2627 Holbrook St
Hamtramck, MI 48212-3480
Phone (313) 308-2501

Hospital & facility affiliations

Beaumont Hospital Royal Oak Hospital · Royal Oak, MI · CCN 230130
Beaumont Hospital, Troy Hospital · Troy, MI · CCN 230269

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20100811000573	MI	Practitioner - General Practice	8224108451	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Status	New patients
Hamtramck General Medical Practice PLLC	Current since Feb 8, 2013	Accepting new patients
Lekana Inpatient Services	Past	Accepting new patients
Lerna Inpatient Services	Past	Accepting new patients

Locations

9632 Conant St
Hamtramck, MI 48212
Phone (313) 871-1912

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician	208D00000X	4301089057	MI	Yes

Addresses

Primary practice location

9632 Conant St
Hamtramck, MI 48212-3305

Mailing address

2627 Holbrook St
Hamtramck, MI 48212-3480
Phone (313) 871-1912

Other providers in Hamtramck, MI

All providers in Hamtramck, MI · General Practice Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.