Active NPI
Bashar Nasour Mohamad, MD
- Gastroenterology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301109216
- Practice address
- 4160 John R St Ste 615
Detroit, MI 48201-2022 - Phone
- (313) 745-4195
- Fax
- (313) 993-8669
- NPI assigned
- Sep 22, 2011
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57-019191 | OH | |
| Gastroenterology Physician | 207RG0100X | 4301109216 | MI | Primary |
Addresses
Primary practice location
4160 John R St Ste 615
Detroit, MI 48201-2022
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Other practice location 1
601 John St Ste M-302
Kalamazoo, MI 49007-5357
Phone (269) 349-2266
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
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
- Gastroenterology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165
205 N E Ave
Jackson, MI 49201-1753
Phone (517) 205-4800
3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040
Hospital & facility affiliations
- Harper University Hospital
- Henry Ford Allegiance Health
- Borgess Medical Center
- Karmanos Cancer Center
- Detroit Receiving Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 67 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57-019191 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| McLaren Bay Region | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| McLaren Bay Region | Internal Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Ascension Medical Group Promed | Internal Medicine | Current | Accepting new patients |
| Ascension Medical Group Promed | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4201 Saint Antoine St
Ste 2E
Detroit, MI 48201
Phone (313) 265-7525
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
4160 John R St
Ste 917
Detroit, MI 48201
Phone (313) 745-1445
4160 John R St
Ste 615
Detroit, MI 48201
Phone (313) 745-5111
3990 John R St
#6
Detroit, MI 48201
Phone (313) 745-8516
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- bmohamad1035324@direct.hfhs.org
- bashar.mohamad.1@19711.direct.athenahealth.com
- direct@direct.bronsonhg.org
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Internal Medicine
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Psychiatry Physician
- Bay City, MI
- NPI 1942560339
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
- Optometrist
- Detroit, MI
- NPI 1063452233
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Social Worker
- Livonia, MI
- NPI 1154360402
-
- Counselor
- Detroit, MI
- NPI 1447465661
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1225311665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R ST STE 615",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012022",
"telephone_number": "313-745-4195",
"fax_number": "313-993-8669"
}
],
"practiceLocations": [
{
"address_1": "601 John St Ste M-302",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075357",
"country_code": "US",
"telephone_number": "269-349-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMAD",
"first_name": "BASHAR",
"middle_name": "NASOUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-22",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57-019191",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301109216",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.