NPIMap

Individual provider Active NPI

Mohammad Kousha, M.D.

  • Pulmonary Disease Physician
  • Saint Clair Shores, MI
National Provider Identifier
1326335381
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301114053 Issued in MI
Practice address
21000 E 12 Mile Rd Ste 112
Saint Clair Shores, MI 48081-1156
Phone
(586) 314-0080
Fax
(877) 673-3562
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301114053 MI Primary
Internal Medicine Physician 207R00000X 4301114053 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301114053 MI

Addresses

Primary practice location

21000 E 12 Mile Rd Ste 112
Saint Clair Shores, MI 48081-1156

Mailing address

50505 Schoenherr Rd Ste 290
Shelby TWP, MI 48315-3141
Phone (586) 314-0080

Other practice location 1

50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

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
I20180612000451 MI Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7810215209 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates PCGroup PAC ID 0547250607, 19 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Professional CurrentSince Aug 30, 2019 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Jun 12, 2018 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Aug 30, 2019 Accepting new patients
Pulmonary & Critical Care Associates PC CurrentSince Jun 1, 2018 Accepting new patients
Royal Urgent Care, PLLC Internal Medicine CurrentSince Jun 12, 2018 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Jun 12, 2018 Accepting new patients
First Choice Urgent Care PC PastSince Jun 12, 2018 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

18720 Mack Ave
Ste 100
Grosse Pointe Farms, MI 48236
Phone (586) 314-0080

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

50505 Schoenherr Rd
Ste 290
Shelby Township, MI 48315
Phone (248) 879-5620

21000 E 12 Mile Rd
Ste 112
St Clr Shores, MI 48081
Phone (586) 314-0080

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • Direct secure messaging: mkousha1135137@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA
  • Direct secure messaging: mohammad.kousha@pcca.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1326335381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD STE 112",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811156",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50505 Schoenherr Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483153141",
            "country_code": "US",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUSHA",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301114053",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301114053",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301114053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.