Individual provider Active NPI

Joshua M Hamoud, MD

  • Internal Medicine Physician
  • Longview, WA
National Provider Identifier
1427407253
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61070467 Issued in WA
Practice address
1718 E Kessler Blvd
Longview, WA 98632-1842
Phone
(360) 747-5800
Fax
(360) 575-3846
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301110287 MI
Internal Medicine Physician 207R00000X MD61070467 WA Primary
Internal Medicine Physician 207R00000X ME143089 FL

Addresses

Primary practice location

1718 E Kessler Blvd
Longview, WA 98632-1842

Mailing address

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6019

Other practice location 1

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6019

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
I20211201001289 MI Practitioner - Internal Medicine 8325334683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sparrow Clinton HospitalGroup PAC ID 5395658850, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

1457 N M
52 Suite 200
Owosso, MI 48867-1299
Phone (989) 224-2338

901 S Oakland St
Saint Johns, MI 48879-2255
Phone (989) 224-2338

901 S Oakland St
Suite 103 SMG St Johns General Surgery
Saint Johns, MI 48879-2200
Phone (989) 224-8971

Hospital & facility affiliations

  • Sparrow Home Care Home health agency, Lansing, MI, CCN 237164
  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143089FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Feb 2, 2022 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Dec 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Feb 2, 2022 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

230 Temple St
Mason, MI 48854
Phone (517) 676-4545

1457 N M 52
Ste 1
Owosso, MI 48867
Phone (989) 723-8463

901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

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 9

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1427407253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-337-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E KESSLER BLVD",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321842",
            "telephone_number": "360-747-5800",
            "fax_number": "360-575-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081282",
            "country_code": "US",
            "telephone_number": "269-337-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMOUD",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110287",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61070467",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME143089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.