Individual provider Active NPI

Mohammed Rida Al-Ansari, MD

  • Specialist
  • Taylor, MI
National Provider Identifier
1336110238
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
043129 Issued in MI
Practice address
25422 Goddard Rd
Taylor, MI 48180-6200
Phone
(313) 291-5678
Fax
(313) 291-6745
NPI assigned
Jan 30, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 043129 MI Primary

Addresses

Primary practice location

25422 Goddard Rd
Taylor, MI 48180-6200

Mailing address

25422 Goddard Rd
Taylor, MI 48180-6200
Phone (313) 291-5678

Other identifiers 1

IdentifierTypeStateIssuer
1953741MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000766 MI Practitioner - Urology 8729129036 Practice locations: Taylor, MI

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25422 Goddard Rd
Taylor, MI 48180-6200
Phone (313) 291-5678

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043129MIMDSpecialist

Interoperability endpoints

  • Direct secure messaging: malansari59787@direct.hfhs.org

Hospital & facility affiliations 4

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336110238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25422 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-291-5678",
            "fax_number": "313-291-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25422 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-291-5678",
            "fax_number": "313-291-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ANSARI",
        "first_name": "MOHAMMED",
        "middle_name": "RIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "043129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1953741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.