NPIMap

Individual provider Active NPI

Mouhammed Joumaa, MD

  • Interventional Cardiology Physician
  • Roseville, MI
National Provider Identifier
1316068653
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301074133 Issued in MI
Practice address
25910 Kelly Rd
Suite B
Roseville, MI 48066-4466
Phone
(586) 772-3366
Fax
(586) 772-3355
NPI assigned
Apr 3, 2007
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301074133 MI
Interventional Cardiology Physician 207RI0011X 35.139721 OH
Interventional Cardiology Physician 207RI0011X 4301074133 MI Primary

Addresses

Primary practice location

25910 Kelly Rd
Suite B
Roseville, MI 48066-4466

Mailing address

50505 Schoenherr Rd
Suite 320
Shelby Township, MI 48315-3140
Phone (586) 580-3062

Other practice location 1

1134 N Main St Ste 2500
Bellefontaine, OH 43311-2382
Phone (937) 592-9221

Other identifiers 2

IdentifierTypeStateIssuer
5315023267OtherMICONTROLLED SUBSTANCE LICE
4301074133OtherMIPHYSICIAN LICENSE

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
I20070626000083 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 0143329581 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians
Cardiology Associates of Michigan, P.C.Group PAC ID 1850330309, 10 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

25910 Kelly Rd B
Roseville, MI 48066-4466
Phone (586) 772-3366

460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone (989) 356-0141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2007 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2007 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Mar 5, 2026 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Mar 5, 2026 Accepting new patients
Mymichigan Medical Center Alpena Cardiovascular Disease CurrentSince Mar 24, 2026 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-6530

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: mjoumaa248943@direct.hfhs.org
  • Direct secure messaging: mouhammed.joumaa.p1@direct.cardofmich.nextgenshare.com

Organizations & group practices 9

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 9

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1316068653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-580-3062",
            "fax_number": "586-580-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 KELLY RD",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664466",
            "telephone_number": "586-772-3366",
            "fax_number": "586-772-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 N Main St Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Bellefontaine",
            "state": "OH",
            "postal_code": "433112382",
            "country_code": "US",
            "telephone_number": "937-592-9221",
            "fax_number": "937-292-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOUMAA",
        "first_name": "MOUHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301074133",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.139721",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301074133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICE",
            "identifier": "5315023267",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "4301074133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.