Individual provider Active NPI

Mohammad Z Al-Sharabi, M. D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1114005576
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301058429 Issued in MI
Practice address
3709 Edenderry Dr
Troy, MI 48083-5120
Phone
(313) 729-7727
NPI assigned
Nov 2, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301058429 MI Primary

Addresses

Primary practice location

3709 Edenderry Dr
Troy, MI 48083-5120

Mailing address

3709 Edenderry Dr
Troy, MI 48083-5120
Phone (313) 729-7727

Other identifiers 1

IdentifierTypeStateIssuer
1108266202OtherMIBCBS

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
I20090318000345 MI Practitioner - Internal Medicine 7911064993 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Urgent Care IncGroup PAC ID 7911007307, 4 clinicians

Practice addresses (Care Compare)

337 Stewart Rd
Monroe, MI 48162-4393
Phone 73424332003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301058429MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Park Urgent Care P.C. CurrentSince May 8, 2017 Accepting new patients
Monroe Urgent Care Inc CurrentSince Aug 23, 2023 Accepting new patients
Michigan Telemed PLLC Internal Medicine CurrentSince Feb 12, 2023 Accepting new patients
Oxford Urgent Care P L C CurrentSince Dec 1, 2008 Accepting new patients
Lakeside Urgent Care, P. C. Internal Medicine Current Accepting new patients
Lakeside Urgent Care, P.C. Internal Medicine CurrentSince Aug 9, 2009 Accepting new patients
Monroe Urgent Care Inc PastSince Aug 23, 2023 Accepting new patients

Locations

15101 Southfield Rd
Ste 101
Allen Park, MI 48101
Phone (313) 383-3333

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

337 Stewart Rd
Monroe, MI 48162
Phone (734) 243-3200

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1114005576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 EDENDERRY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835120",
            "telephone_number": "313-729-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 EDENDERRY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835120",
            "telephone_number": "313-729-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SHARABI",
        "first_name": "MOHAMMAD",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1108266202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.