Individual provider Active NPI

Sabah M Mohammed, MD

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1366484206
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076780 Issued in MI
Practice address
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone
(586) 778-4950
Fax
(586) 778-4952
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301076780 MI Primary

Addresses

Primary practice location

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805

Mailing address

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone (586) 778-4950

Other identifiers 2

IdentifierTypeStateIssuer
700E012740OtherMIBCBSM GROUP NUMBER
4922589MedicaidMI

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
I20060728000119 MI Practitioner - Internal Medicine 4789697210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabah Internal Medicine PLLCGroup PAC ID 3274816814, 4 clinicians

Practice addresses (Care Compare)

23600 Harper Ave
Suite 103
Saint Clair Shores, MI 48080-1445
Phone (586) 585-2570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.65 of 100Reported as group
Quality
15
Improvement activities
40
Cost
68.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076780MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sabah Internal Medicine PLLC Internal Medicine CurrentSince Jan 29, 2017 Accepting new patients
Ascension Medical Group Michigan Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Lakeview Medical Center PC Internal Medicine Past Accepting new patients

Locations

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

22101 Moross Rd
Fl 6
Detroit, MI 48236
Phone (248) 362-2300

18263 E 10 Mile Rd
Ste D
Roseville, MI 48066
Phone (586) 238-2059

23600 Harper Ave
Ste 103
St Clr Shores, MI 48080
Phone (586) 585-2570

23600 Harper Ave
St Clr Shores, MI 48080
Phone (586) 200-5606

Interoperability endpoints

  • Direct secure messaging: smohammed1141885@direct.hfhs.org

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 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1366484206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-778-4950",
            "fax_number": "586-778-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-778-4950",
            "fax_number": "586-778-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "SABAH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4922589",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.