Individual provider Active NPI

Bashar Nasour Mohamad, MD

  • Gastroenterology Physician
  • Detroit, MI
National Provider Identifier
1225311665
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301109216 Issued in MI
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

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412001400 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 8921225087 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

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 Hospital, Detroit, MI, CCN 230104
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Karmanos Cancer Center Hospital, Detroit, MI, CCN 230297
  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-019191OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Sep 1, 2024 Accepting new patients
Promed Healthcare CurrentSince Jun 13, 2025 Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine CurrentSince Nov 16, 2024 Accepting new patients
University Physician Group Internal Medicine CurrentSince Apr 5, 2019 Accepting new patients
McLaren Bay Region CurrentSince Nov 15, 2021 Accepting new patients
University Physician Group CurrentSince Apr 5, 2019 Accepting new patients
McLaren Bay Region Internal Medicine CurrentSince Nov 15, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Nov 16, 2024 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Jun 13, 2025 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

  • Direct secure messaging: bmohamad1035324@direct.hfhs.org
  • Direct secure messaging: bashar.mohamad.1@19711.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.