NPIMap

Individual provider Active NPI

Mohamed Mustafa Elsunni, M.D.

  • Hospitalist Physician
  • Greenville, SC
National Provider Identifier
1376982348
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
83628 Issued in SC
Practice address
701 Grove Rd FL 5
Greenville, SC 29605-4210
Phone
(864) 455-4411
Fax
(864) 455-4480
NPI assigned
Jun 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 4301103594 MI
Hospitalist Physician 208M00000X 83628 SC Primary

Addresses

Primary practice location

701 Grove Rd FL 5
Greenville, SC 29605-4210

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 436-2578

Other practice location 2

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000

Other identifiers 1

IdentifierTypeStateIssuer
836288MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melsunni275306@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160728001519 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 9335432327 Reassigns benefits to 2 organizations
I20200325001838 SC Practitioner - HospitalistPractitioner - Internal Medicine 9335432327 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Pelham Medical CenterGroup PAC ID 2365519097, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6654

250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 560-6619

701 Grove Rd
Suite 5
Greenville, SC 29605-4210
Phone (864) 455-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103594MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Musc Community Physicians Internal Medicine Current Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Mar 23, 2020 Accepting new patients
Pelham Medical Center Current Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 8, 2024 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Apr 10, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 26, 2023 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 19, 2023 Accepting new patients
Spartanburg Medical Center CurrentSince Oct 1, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince May 26, 2023 Accepting new patients
Comprehensive Hospital Care P C Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Apr 10, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 23, 2020 Accepting new patients
Pelham Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Prisma Health-Upstate Past Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

23300 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-9500

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1376982348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-4411",
            "fax_number": "864-455-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-436-2578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSUNNI",
        "first_name": "MOHAMED",
        "middle_name": "MUSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103594",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "83628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836288",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melsunni275306@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "melsunni275306@direct.ghs.myhfn.org",
            "address_1": "701 Grove Rd Fl 5",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.