Individual provider Active NPI

Ali Mohammed, M.D.

  • Nephrology Physician
  • Flint, MI
National Provider Identifier
1396735940
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301070182 Issued in MI
Practice address
G1071 N Ballenger Hwy
Suite 310
Flint, MI 48504-4453
Phone
(810) 238-4172
Fax
(810) 238-4153
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301070182 MI Primary

Addresses

Primary practice location

G1071 N Ballenger Hwy
Suite 310
Flint, MI 48504-4453

Mailing address

673 Morningside Dr
Grand Blanc, MI 48439-2313

Other identifiers 1

IdentifierTypeStateIssuer
442455910MedicaidMI

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
I20050712000665 MI Practitioner - NephrologyPractitioner - Internal Medicine 7911818810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology and Internal Medicine PCGroup PAC ID 9234100835, 9 clinicians

Practice addresses (Care Compare)

208 N Shiawassee St
Owosso, MI 48867-2755
Phone (989) 472-3750

G3404 Miller Rd
Flint, MI 48507-1238
Phone (810) 238-4172

Hospital & facility affiliations

  • DaVita Fenton Dialysis Dialysis facility, Fenton, MI, CCN 232635
  • DaVita Park Plaza Dialysis Dialysis facility, Flint, MI, CCN 232610
  • DaVita Flushing Dialysis Dialysis facility, Flushing, MI, CCN 232601
  • DaVita Flint Dialysis Center Dialysis facility, Flint, MI, CCN 232608
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070182MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Internal Medicine PC CurrentSince Jul 1, 2005 Accepting new patients

Locations

G3404 Miller Rd
Flint, MI 48507
Phone (810) 238-4172

G1071 N Ballenger Hwy
Ste 310
Flint, MI 48504
Phone (810) 238-4172

3615 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-6891

9463 Holly Rd
Ste 102
Grand Blanc, MI 48439
Phone (810) 579-2600

208 N Shiawassee St
Owosso, MI 48867
Phone (989) 723-9796

Interoperability endpoints

  • Direct secure messaging: amohammed1141881@direct.hfhs.org
  • Direct secure messaging: ali.mohammed.1@6373.direct.athenahealth.com

Organizations & group practices 1

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1396735940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MORNINGSIDE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 310",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-238-4172",
            "fax_number": "810-238-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301070182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442455910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.