Individual provider Active NPI

Mahmoud H Dakroub, PA-C

  • Physician Assistant
  • Madison Heights, MI
National Provider Identifier
1518736826
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013370 Issued in MI
Practice address
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone
(248) 716-8600
NPI assigned
Dec 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013370 MI Primary

Addresses

Primary practice location

350 E 12 Mile Rd
Madison Heights, MI 48071-2531

Mailing address

350 E 12 Mile Rd
Madison Heights, MI 48071-2531

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118004008 MI Practitioner - Physician Assistant 2163913013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Get Well Urgent Care Dearborn PLCGroup PAC ID 7911373170, 18 clinicians
Get Well Urgent Care Downriver PLCGroup PAC ID 5193061992, 19 clinicians
Get Well Urgent Care Detroit PLCGroup PAC ID 0941657126, 15 clinicians
Southfield City Urgent Care PCGroup PAC ID 5698948354, 22 clinicians
Get Well Urgent Care Dearborn Heights PLCGroup PAC ID 7012362833, 17 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians

Practice addresses (Care Compare)

13244 W Warren Ave
Dearborn, MI 48126-1415
Phone (313) 380-1200

1770 Fort St
Lincoln Park, MI 48146-1904
Phone (313) 466-4000

19335 Grand River Ave
Detroit, MI 48223-1201
Phone (313) 955-0000

23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 569-2600

24950 W Warren St
Dearborn Heights, MI 48127-2143
Phone (313) 595-2000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601013370MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hoover Urgent Care of Warren PLLC CurrentSince Nov 4, 2025 Accepting new patients

Locations

13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200

24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000

19335 Grand River Ave
Detroit, MI 48223
Phone (313) 794-8780

1770 Fort St
Lincoln Park, MI 48146
Phone (313) 406-4413

350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

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.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1518736826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-716-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKROUB",
        "first_name": "MAHMOUD",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.