Active NPI
Mohamed Abdelrahman a Khedr, M.D.
- Obstetrics & Gynecology Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301083799
- Practice address
- 1335 S Linden Rd
Suite # C
Flint, MI 48532-3420 - Phone
- (810) 733-0010
- Fax
- (810) 733-0011
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301083799 | MI | Primary |
Addresses
Primary practice location
1335 S Linden Rd
Suite # C
Flint, MI 48532-3420
Mailing address
1335 S Linden Rd
Suite # C
Flint, MI 48532-3420
Phone (810) 733-0010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1602514012 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN - PROVIDER ID |
| OB56025 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN - GROUP |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080723000555 | MI | Practitioner - Obstetrics/Gynecology | 5092888115 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1140 S Linden Rd
Flint, MI 48532-3437
Phone (810) 259-2822
1289 S Linden Rd
Suite B
Flint, MI 48532-3499
Hospital & facility affiliations
- Hurley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083799 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics & Gynecology of Greater Flint PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| McLaren Flint | Obstetrics & Gynecology | Current | Accepting new patients |
| Hurley Medical Center | Obstetrics & Gynecology | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| McLaren Flint | Past | Accepting new patients | |
| Advanced Cardiovascular Clinic PC | Past | Accepting new patients | |
| Hurley Medical Center | Past | Accepting new patients |
Locations
1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353
1 Hurley Plz
#9W
Flint, MI 48503
Phone (810) 262-4787
1335 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 720-6070
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
1140 S Linden Rd
Flint, MI 48532
Phone (810) 606-8766
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
1289 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 410-9021
1 Hurley Plz
Ste 3C
Flint, MI 48503
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHJGAD/Endpoint/FHJGAD
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1306399068
MI, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
MI, Obstetrics & Gynecology
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Cardiac Rehabilitation Clinic/Center
- Flushing, MI
- NPI 1912549056
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
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": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1487854022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 S LINDEN RD",
"address_2": "SUITE # C",
"city": "FLINT",
"state": "MI",
"postal_code": "485323420",
"telephone_number": "810-733-0010",
"fax_number": "810-733-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 S LINDEN RD",
"address_2": "SUITE # C",
"city": "FLINT",
"state": "MI",
"postal_code": "485323420",
"telephone_number": "810-733-0010",
"fax_number": "810-733-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHEDR",
"first_name": "MOHAMED",
"middle_name": "ABDELRAHMAN A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301083799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN - PROVIDER ID",
"identifier": "1602514012",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN - GROUP",
"identifier": "OB56025",
"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 Jun 20, 2016; 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.