Active NPI
Ali Mohammed, M.D.
- Nephrology Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301070182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442455910 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- DaVita Park Plaza Dialysis
- DaVita Flushing Dialysis
- DaVita Flint Dialysis Center
- Ascension Genesys Hospital
- Hurley Medical Center
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070182 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology & Internal Medicine PC | Current | 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
- amohammed1141881@direct.hfhs.org
- 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.
-
- Specialist
- Flint, MI
- NPI 1730190596
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Flushing, MI
- NPI 1073574588
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fenton, MI
- NPI 1063517621
Dialysis facility
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.