Active NPI
Ali Hasan Mahmood MD PLC
Doing business as Am Medical Center
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- AM056507
- Legal business name
- ALI HASAN MAHMOOD MD PLC
- Doing business as
- Am Medical Center
- Practice address
- 13031 Conant St
Detroit, MI 48212-2361 - Phone
- (313) 893-5490
- Fax
- (313) 893-5495
- NPI assigned
- Jul 15, 2005
- Last updated
- Nov 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ali H Mahmood, MD
- Title
- Owner/Physician
- Phone
- (313) 893-5490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GP068359 | MI | |
| Internal Medicine Physician | 207R00000X | AM056507 | MI | Primary |
Addresses
Primary practice location
13031 Conant St
Detroit, MI 48212-2361
Mailing address
13031 Conant St
Detroit, MI 48212-2361
Phone (313) 893-5490
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615861800 | Other | MI | DEPT OF LABOR |
| DA2203 | Other | MI | RAILROAD MEDICARE |
| 1275532905 | Medicaid | MI | |
| 700H215230 | Other | MI | BCN |
| 4283129 | Medicaid | MI | |
| 700H215230 | Other | MI | BC |
Other names 1
- AM MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0985231 | Ali H Mahmood MD PLC | Provider-performed microscopy | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1386643013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1275532905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13031 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482122361",
"telephone_number": "313-893-5490",
"fax_number": "313-561-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13031 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482122361",
"telephone_number": "313-893-5490",
"fax_number": "313-893-5495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI HASAN MAHMOOD MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "MAHMOOD",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "313-893-5490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "GP068359",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "AM056507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "615861800",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA2203",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275532905",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "700H215230",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4283129",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "700H215230",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AM MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AM MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.