Individual provider Active NPI

Mohamed Abdelrahman a Khedr, M.D.

  • Obstetrics & Gynecology Physician
  • Flint, MI
National Provider Identifier
1487854022
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301083799 Issued in MI
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

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1602514012OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN - PROVIDER ID
OB56025OtherMIBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Flint, MI, CCN 230132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083799MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics & Gynecology of Greater Flint PC Obstetrics & Gynecology CurrentSince May 20, 2016 Accepting new patients
Hurley Medical Center CurrentSince Aug 5, 2008 Accepting new patients
McLaren Flint Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Hurley Medical Center Obstetrics & Gynecology CurrentSince Aug 5, 2008 Accepting new patients
McLaren Flint CurrentSince Mar 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.