NPIMap

Individual provider Active NPI

Ali H Mahmood, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1386643013
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AM056507 Issued in MI
Practice address
13031 Conant St
Detroit, MI 48212-2361
Phone
(313) 893-5490
Fax
(313) 893-5495
NPI assigned
Jul 15, 2005
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 AM056507 MI Primary

Addresses

Primary practice location

13031 Conant St
Detroit, MI 48212-2361

Mailing address

13031 Conant St
Detroit, MI 48212-2361
Phone (313) 893-5490

Other identifiers 3

IdentifierTypeStateIssuer
1108212991OtherMIBCBS PIN
4283129MedicaidMI
4653542MedicaidMI

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
I20041117000432 MI Practitioner - Internal Medicine 7517921786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13031 Conant St
Detroit, MI 48212-2361
Phone (313) 893-5490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AM056507MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Hasan Mahmood MD PLC Internal Medicine CurrentSince Apr 1, 2001 Accepting new patients
Am Urgent Care PLC Current Accepting new patients
Am Urgent Care PLC Internal Medicine CurrentSince Oct 9, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amahmood1139863@direct.hfhs.org
  • Direct secure messaging: amahmood849085@direct.hfhs.org

Organizations & group practices 3

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 6

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1386643013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122361",
            "telephone_number": "313-893-5490",
            "fax_number": "313-893-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122361",
            "telephone_number": "313-893-5490",
            "fax_number": "313-893-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "ALI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AM056507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "1108212991",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4283129",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4653542",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.