Individual provider Active NPI

Mohannad Abousaleh, MD

  • Gastroenterology Physician
  • Ypsilanti, MI
National Provider Identifier
1265828115
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301506278 Issued in MI
Practice address
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone
(734) 434-6262
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301506278 MI Primary
Gastroenterology Physician 207RG0100X 35.136758 OH

Addresses

Primary practice location

5300 Elliott Dr
Ypsilanti, MI 48197-8632

Mailing address

1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-4831

Other practice location 2

9500 Euclid Ave
Cleveland, OH 44195-1716
Phone (216) 444-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hurongastro@directaddress.net Health Information Exchange (HIE)

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
I20220413002707 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 1951684364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Mary Mercy Hospital ProfessionalGroup PAC ID 2365521226, 17 clinicians
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
Huron Gastroenterology Associates PCGroup PAC ID 0840288221, 95 clinicians
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2671

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

5333 McAuley Dr
Ypsilanti, MI 48197-1097

744 W Michigan Ave
201 Henry Ford Allegiance Gastroenterology
Jackson, MI 49201-1900
Phone (517) 205-7618

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy140
Upper gastrointestinal (GI) endoscopy for acid reflux276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Gastroenterology Associates PC Gastroenterology CurrentSince Apr 1, 2022 Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Gastroenterology CurrentSince Nov 1, 2024 Accepting new patients
St Mary Mercy Hospital Professional Gastroenterology CurrentSince Sep 26, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
Iha Health Service Corporation Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Nov 1, 2024 Accepting new patients
Huron Gastroenterology Associates PC Gastroenterology Current Accepting new patients

Locations

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1100 E Michigan Ave
Ste 205
Jackson, MI 49201
Phone (517) 205-7618

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

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

744 W Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7618

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

36650 5 Mile Rd
Livonia, MI 48154
Phone (734) 434-6262

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

Interoperability endpoints

  • Direct secure messaging: hurongastro@directaddress.net
  • Direct secure messaging: mabousaleh1054654@direct.hfhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mabousaleh1848691@direct.trinity-health.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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1265828115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ELLIOTT DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978632",
            "telephone_number": "734-434-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-4831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441951716",
            "country_code": "US",
            "telephone_number": "216-444-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOUSALEH",
        "first_name": "MOHANNAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301506278",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.136758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hurongastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML,PDF",
            "address_1": "5300 Elliott Dr",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481978632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.