Active NPI
Mark R Zohoury, D.O.
- Internal Medicine Physician
- Troy, MI
National Provider Identifier
1174530232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101010768
- Practice address
- 1950 E Wattles Rd
Ste 101
Troy, MI 48085-5099 - Phone
- (248) 740-8000
- Fax
- (248) 740-1355
- NPI assigned
- Aug 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101010768 | MI | Primary |
Addresses
Primary practice location
1950 E Wattles Rd
Ste 101
Troy, MI 48085-5099
Mailing address
1950 E Wattles Rd
Ste 101
Troy, MI 48085-5099
Phone (248) 740-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2963045 | Medicaid | MI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000124 | MI | Practitioner - Internal Medicine | 3173719390 |
Receives reassigned benefits from 1 practitioner Practice locations: Troy, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1950 E Wattles Rd
Troy, MI 48085-5099
Phone (248) 740-8000
44201 Dequindre
Troy, MI 48085-1117
Phone (248) 964-5000
Hospital & facility affiliations
- Beaumont Home Health
- Residential Home Health
- A Choice Home Health Care, Inc.
- Home Care of Michigan
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | Past | Accepting new patients | |
| Leo R Murskyj MD PLC | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1124154240
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- Home Health Agency
- Southfield, MI
- NPI 1891351938
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1174530232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 E WATTLES RD",
"address_2": "STE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480855099",
"telephone_number": "248-740-8000",
"fax_number": "248-740-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E WATTLES RD",
"address_2": "STE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480855099",
"telephone_number": "248-740-8000",
"fax_number": "248-740-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOHOURY",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101010768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2963045",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.