Active NPI
Mahmoud Elghoroury, M.D.
- Pediatrics Physician
- Rochester Hills, MI
National Provider Identifier
1124048848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301054826
- Practice address
- 2502 S Rochester Rd
Rochester Hills, MI 48307-3817 - Phone
- (248) 852-5177
- Fax
- (248) 852-5424
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4301054826 | MI | |
| Pediatrics Physician | 208000000X | 4301054826 | MI | Primary |
Addresses
Primary practice location
2502 S Rochester Rd
Rochester Hills, MI 48307-3817
Mailing address
2502 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone (248) 852-5177
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330383510 | Medicaid | MI | |
| 0638791 | Other | MI | BCN/ BCBS |
| F28984 | Other | MI | HAP |
| 0127320 | Other | MI | TOTAL HEALTHCARE MEDICAID |
| 1145069 | Other | MI | FIRST HEALTH |
| 007894 | Other | MI | MIDWEST |
| 315044 | Other | MI | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melghor@direct.practicefusion.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301054826 | MI | MD | Pediatrics Physician |
Interoperability endpoints
- melghor@direct.practicefusion.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1124048848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073817",
"telephone_number": "248-852-5177",
"fax_number": "248-852-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073817",
"telephone_number": "248-852-5177",
"fax_number": "248-852-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGHOROURY",
"first_name": "MAHMOUD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "4301054826",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301054826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330383510",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN/ BCBS",
"identifier": "0638791",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "F28984",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTHCARE MEDICAID",
"identifier": "0127320",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1145069",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST",
"identifier": "007894",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "315044",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melghor@direct.practicefusion.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2502 S Rochester Rd",
"city": "Rochester Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483073817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.