NPIMap

Individual provider Active NPI

Richard Hammoud, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1255330767
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301078443 Issued in MI
Practice address
23865 Michigan Ave
Dearborn, MI 48124
Phone
(313) 562-9588
Fax
(313) 562-9589
NPI assigned
Jul 18, 2005
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301078443 MI Primary

Addresses

Primary practice location

23865 Michigan Ave
Dearborn, MI 48124

Mailing address

23865 Michigan Ave
Dearborn, MI 48124-1805
Phone (313) 562-9588

Other identifiers 1

IdentifierTypeStateIssuer
4676331MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000510 MI Practitioner - Internal Medicine 2860469483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard R Hammoud MD PCGroup PAC ID 8628247772, 2 clinicians

Practice addresses (Care Compare)

23865 Michigan Ave
Dearborn, MI 48124-1805
Phone (313) 562-9588

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301078443MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westborn Medical Clinic Current Accepting new patients
Hammoud Medical Services PC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Detroit Nursing Center, LLC Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Wayne Mi Opco LLC Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Westland Nursing and Rehabilitation Centre, LLC Past Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine Past Accepting new patients

Locations

23865 Michigan Ave
Dearborn, MI 48124
Phone (313) 562-9588

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADGIBA/Endpoint/ADGIBA
  • Direct secure messaging: rhammoud60813@direct.hfhs.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1255330767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23865 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241805",
            "telephone_number": "313-562-9588",
            "fax_number": "313-562-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23865 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-562-9588",
            "fax_number": "313-562-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4676331",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.