NPIMap

Individual provider Active NPI

Asadulla S Mohammed, MD

  • Pulmonary Disease Physician
  • Berkley, MI
National Provider Identifier
1508819350
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
430107244 Issued in MI
Practice address
27901 Woodward Ave
Suite 220
Berkley, MI 48072-0919
Phone
(248) 556-5582
Fax
(248) 850-7142
NPI assigned
May 19, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 430107244 MI Primary

Addresses

Primary practice location

27901 Woodward Ave
Suite 220
Berkley, MI 48072-0919

Mailing address

17177 N Laurel Park Dr Ste 439
Livonia, MI 48152-3938
Phone (248) 556-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000403 MI Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6002842325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care and Pulmonary Consultants PLLCGroup PAC ID 5395135867, 3 clinicians

Practice addresses (Care Compare)

27901 Woodward Ave
Suite 220
Berkley, MI 48072-0918
Phone (248) 556-5582

6255 Inkster Rd
Garden City, MI 48135-2538
Phone (734) 525-0319

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430107244MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 21, 2018 Accepting new patients
Critical Care & Pulmonary Consultants PLLC CurrentSince Jun 23, 2021 Accepting new patients
Consultants in Sleep & Pulmonary Medicine PLLC Pulmonary Disease CurrentSince Oct 1, 2020 Accepting new patients
Pankaj Hukku, MD PC Pulmonary Disease PastSince Jul 23, 2023 Accepting new patients
John Haapaniemi& Barry Lesser PTR,Haapaniemi Lesser Associated Pulmonary Disease PastSince Oct 29, 2023 Accepting new patients
Grace University Medical Group Internal Medicine Past Accepting new patients

Locations

27901 Woodward Ave
Ste 220
Berkley, MI 48072
Phone (248) 399-5492

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

29275 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 350-2722

6255 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (248) 275-1144

6255 Inkster Rd
Ste 307
Garden City, MI 48135
Phone (248) 556-5582

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

3577 W 13 Mile Rd
Ste 202
Royal Oak, MI 48073
Phone (248) 551-0268

3601 W 13 Mile Rd
Royal Oak, MI 48073

Interoperability endpoints

  • Direct secure messaging: amohamme2@direct.dmc.org
  • Direct secure messaging: amohammed1141883@direct.hfhs.org
  • Direct secure messaging: asadulla.mohammed.1@16555.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1508819350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 439",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523938",
            "telephone_number": "248-556-5582",
            "fax_number": "248-850-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-556-5582",
            "fax_number": "248-850-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "ASADULLA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "430107244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.