NPIMap

Individual provider Active NPI

Ali Hikmat Mahmood, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Van Buren TWP, MI
National Provider Identifier
1265954473
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
4301113420 Issued in MI
Practice address
9850 Haggerty Rd
Van Buren TWP, MI 48111-3443
Phone
(734) 699-3080
Fax
(734) 699-3946
NPI assigned
Jul 10, 2017
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4301113420 MI Primary
Family Medicine Physician 207Q00000X 4301113420 MI

Addresses

Primary practice location

9850 Haggerty Rd
Van Buren TWP, MI 48111-3443

Mailing address

9850 Haggerty Rd
Van Buren TWP, MI 48111-3443
Phone (734) 699-3080

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
I20210825001084 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 9638426802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9850 Haggerty Rd
Van Buren TWP, MI 48111-3443
Phone (734) 699-3080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ali H. Mahmood, PLLC Geriatric Medicine CurrentSince Jul 1, 2021 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Nov 2, 2021 Accepting new patients
Mahmood Medical PLLC Family Medicine Current Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Westland Nursing and Rehabilitation Centre, LLC Past Accepting new patients
Ypsilanti Opco, LLC Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

9850 Haggerty Rd
Van Buren Township, MI 48111
Phone (734) 697-0612

Interoperability endpoints

  • Direct secure messaging: ali.mahmood.1@23498.direct.athenahealth.com
  • Direct secure messaging: amahmood740158@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/23498/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Rehabilitation & Nursing Center-Commons DearbornDearborn, MI, CCN 235502 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 12

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1265954473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 HAGGERTY RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113443",
            "telephone_number": "734-699-3080",
            "fax_number": "734-699-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 HAGGERTY RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113443",
            "telephone_number": "734-699-3080",
            "fax_number": "734-699-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "ALI",
        "middle_name": "HIKMAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301113420",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301113420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren TWP, MI

Sources for this page

Verify at the official NPI Registry.