NPIMap

Individual provider Active NPI

Mohamad Rasm Alsibae, MD

  • Gastroenterology Physician
  • Royal Oak, MI
National Provider Identifier
1326230038
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301082634 Issued in MI
Practice address
3535 W 13 Mile Rd Ste 248
Royal Oak, MI 48073-6770
Phone
(248) 551-1515
NPI assigned
Aug 16, 2007
Last updated
May 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301082634 MI
Gastroenterology Physician 207RG0100X 4301082634 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd Ste 248
Royal Oak, MI 48073-6770

Mailing address

7241 Gateway Dr
West Bloomfield, MI 48322-3698
Phone (248) 408-4088

Other names 1

  • Dr. Mohamad Rasm Alsibae Other name

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
I20070905000444 MI Practitioner - Gastroenterology 7719070879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

44199 Dequindre Rd
Troy, MI 48085-1128

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301082634MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital CurrentSince Jul 1, 2013 Accepting new patients
William Beaumont Hospital CurrentSince Jul 1, 2013 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 21, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3535 W 13 Mile Rd
Ste 635
Royal Oak, MI 48073
Phone (248) 551-1010

3535 W 13 Mile Rd
Ste Ll
Royal Oak, MI 48073
Phone (248) 551-3000

3601 W 13 Mile Rd
Royal Oak, MI 48073

3535 W 13 Mile Rd
Ste 644
Royal Oak, MI 48073
Phone (248) 551-1010

3535 W 13 Mile Rd
Ste 248
Royal Oak, MI 48073
Phone (248) 551-1515

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

130 Town Center Dr
Ste 203
Troy, MI 48084
Phone (248) 585-8250

44199 Dequindre Rd
Ste 615
Troy, MI 48085
Phone (248) 964-9660

Interoperability endpoints

  • Direct secure messaging: malsibae1223092@epic00.shdirect.org

Organizations & group practices 5

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1326230038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 GATEWAY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223698",
            "telephone_number": "248-408-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 248",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSIBAE",
        "first_name": "MOHAMAD RASM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301082634",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301082634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMAD",
            "last_name": "ALSIBAE",
            "middle_name": "RASM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.