NPIMap

Individual provider Active NPI

Mohammad Ghaffarloo, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Clinton Township, MI
National Provider Identifier
1275631764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301056996 Issued in MI
Practice address
15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147
Phone
(586) 286-8677
Fax
(586) 286-8781
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301056996 MI Primary

Addresses

Primary practice location

15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147

Mailing address

15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147
Phone (586) 286-8677

Other identifiers 1

IdentifierTypeStateIssuer
43391 COMMONS CLINTOOtherMIPREVIOUS ADDRESS

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
I20040611001240 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 6901889641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Medical Associates PCGroup PAC ID 2860743309, 23 clinicians

Practice addresses (Care Compare)

15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147
Phone (586) 286-8677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
82.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056996MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Medical Group PC Internal Medicine Current Accepting new patients
Pioneer Endoscopy & Surgery Center, L.L.C. CurrentSince Sep 1, 2018 Accepting new patients
Pioneer Medical Associates P.C. Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Locations

15945 19 Mile Rd
Ste 206
Clinton Township, MI 48038
Phone (586) 228-6603

15945 19 Mile Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-0464

29111 Harper Ave
St Clr Shores, MI 48081
Phone (586) 771-2097

27540 Hoover Rd
Warren, MI 48093
Phone (586) 754-3160

27560 Hoover Rd
Warren, MI 48093
Phone (586) 573-5890

11900 E 12 Mile Rd
Ste 100
Warren, MI 48093
Phone (586) 573-5890

Interoperability endpoints

  • Direct secure messaging: mghaffarloo63479@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDIBBA

Organizations & group practices 4

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 10

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275631764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-286-8677",
            "fax_number": "586-286-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-286-8677",
            "fax_number": "586-286-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARLOO",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301056996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS ADDRESS",
            "identifier": "43391 COMMONS CLINTO",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.