Individual provider Active NPI

Muhammad M Aboudan, MD

  • Pulmonary Disease Physician
  • Grand Blanc, MI
National Provider Identifier
1457308702
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA085139 Issued in MI
Practice address
8220 S Saginaw St
Suite 800
Grand Blanc, MI 48439-1890
Phone
(810) 695-5864
Fax
(810) 695-2412
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MA085139 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X MA085139 MI
Pulmonary Disease Physician 207RP1001X MA085139 MI Primary

Addresses

Primary practice location

8220 S Saginaw St
Suite 800
Grand Blanc, MI 48439-1890

Mailing address

8220 S. Saginaw St. Ste 800
Grand Blanc, MI 48439-1890
Phone (810) 695-5864

Other identifiers 2

IdentifierTypeStateIssuer
5459129MedicaidMI
4751409MedicaidMI

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
I20050804000922 MI Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6002845583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Lung Associates PCGroup PAC ID 9032289194, 6 clinicians

Practice addresses (Care Compare)

8220 S Saginaw St
Suite 800
Grand Blanc, MI 48439-1890
Phone (810) 695-5864

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA085139MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Genesys Hospital CurrentSince Jan 1, 2009 Accepting new patients
Flushing Urgent Care PLC CurrentSince Jul 12, 2014 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Ascension Genesys Hospital CurrentSince Jan 1, 2009 Accepting new patients
Genesee Lung Associates PC Critical Care Medicine CurrentSince Aug 4, 2008 Accepting new patients
Genesee ENT Associates PC Sleep Medicine CurrentSince Nov 6, 2010 Accepting new patients

Locations

1501 S Center Rd
Bldg B
Burton, MI 48509
Phone (810) 742-0225

612 N State Rd
Davison, MI 48423
Phone (810) 652-6600

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

8220 S Saginaw St
Ste 800
Grand Blanc, MI 48439
Phone (810) 603-3841

8220 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 659-5864

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: maboudan1158984@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 6

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 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1457308702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 S. SAGINAW ST. STE 800",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391890",
            "telephone_number": "810-695-5864",
            "fax_number": "810-695-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 S SAGINAW ST",
            "address_2": "SUITE 800",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391890",
            "telephone_number": "810-695-5864",
            "fax_number": "810-695-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUDAN",
        "first_name": "MUHAMMAD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "MA085139",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "MA085139",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "MA085139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5459129",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4751409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.