Individual provider Active NPI

Mustafa Alnounou, MD

  • Gastroenterology Physician
  • Flint, MI
National Provider Identifier
1235165481
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301093129 Issued in MI
Practice address
5202 Miller Rd
Ste B
Flint, MI 48507-1040
Phone
(810) 720-1600
Fax
(810) 820-3482
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301093129 MI Primary

Addresses

Primary practice location

5202 Miller Rd
Ste B
Flint, MI 48507-1040

Mailing address

5202 Miller Rd Ste B
Flint, MI 48507-1040
Phone (810) 720-1600

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
I20090427000449 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 4284632183 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5202 Miller Rd
Flint, MI 48507-1040
Phone (810) 720-1600

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Select Specialty Hospital-Flint Long-term care hospital, Flint, MI, CCN 232012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy182
Upper gastrointestinal (GI) endoscopy for acid reflux729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 1, 2014 Accepting new patients
M Haitham Al-Midani MD PC Gastroenterology CurrentSince Feb 1, 2016 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Covenant Medical Center, Inc CurrentSince Jun 1, 2014 Accepting new patients
W. a. Foote Memorial Hospital, Inc CurrentSince Dec 1, 2014 Accepting new patients
The Digestive Disease Institute, P.C. Gastroenterology CurrentSince Sep 1, 2011 Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Johnson Memorial Hospital Past Accepting new patients
Michigan Gastroenterology Clinic, PC PastSince May 17, 2000 Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Memorial Hospital Past Accepting new patients
McLaren Flint Past Accepting new patients
McLaren Flint Gastroenterology Past Accepting new patients

Locations

4050 Walli Strasse Dr
Ste 1
Burton, MI 48509
Phone (810) 743-0680

5202 Miller Rd
Ste B
Flint, MI 48507
Phone (810) 720-1600

5059 Villa Linde Pkwy
Ste 28
Flint, MI 48532
Phone (810) 720-7600

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2486 Nerredia St
Ste A
Flint, MI 48532
Phone (810) 720-1600

8121 Trillium Circle Ave
Fl 2
Grand Blanc, MI 48439

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1320 N Michigan Ave
Ste 7
Saginaw, MI 48602
Phone (989) 583-2720

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14162/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1235165481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 MILLER RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071040",
            "telephone_number": "810-720-1600",
            "fax_number": "810-820-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 MILLER RD",
            "address_2": "STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071040",
            "telephone_number": "810-720-1600",
            "fax_number": "810-820-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNOUNOU",
        "first_name": "MUSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301093129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.