NPIMap

Individual provider Active NPI

Mohammad A Hammoude, M.D.

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1265559488
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301083021 Issued in MI
Practice address
4201 Saint Antoine St
University Health Center 4H
Detroit, MI 48201-2153
Phone
(313) 745-4008
Fax
(313) 993-0903
NPI assigned
Mar 23, 2007
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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 4301083021 MI Primary
Hospitalist Physician 208M00000X 4301083021 MI

Addresses

Primary practice location

4201 Saint Antoine St
University Health Center 4H
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St
University Health Center 4H
Detroit, MI 48201-2153
Phone (313) 745-4008

Other identifiers 3

IdentifierTypeStateIssuer
70-0-F32947-0OtherMIBCBS CPIN #
4985300-10MedicaidMI
1265559488OtherMINPI #

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
I20070614000420 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 8426156472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrine Shores PCGroup PAC ID 3779739990, 2 clinicians

Practice addresses (Care Compare)

11270 E 13 Mile Rd
Suite 3
Warren, MI 48093-2599
Phone (586) 446-9600

44700 Delco Blvd
Suite a
Sterling Heights, MI 48313-1025
Phone (586) 446-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Shores PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Wayne State University School of Medicine Past Accepting new patients
University Physician Group Internal Medicine Past Accepting new patients

Locations

18263 E 10 Mile Rd
Ste D
Roseville, MI 48066
Phone (586) 238-2059

53950 Van Dyke Ave
Shelby Township, MI 48316
Phone (248) 293-0055

44700 Delco Blvd
Ste A
Sterling Heights, MI 48313
Phone (586) 446-9600

Interoperability endpoints

  • Direct secure messaging: mhammoude1131241@direct.hfhs.org
  • Direct secure messaging: mhammoude609614@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1265559488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UNIVERSITY HEALTH CENTER 4H",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4008",
            "fax_number": "313-993-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UNIVERSITY HEALTH CENTER 4H",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4008",
            "fax_number": "313-993-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUDE",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083021",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301083021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CPIN #",
            "identifier": "70-0-F32947-0",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4985300-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1265559488",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.