Active NPI
Khalil Mroue, M.D.
- Emergency Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301116940
- Practice address
- 18101 Oakwood Blvd
Dearborn, MI 48124-4089 - Phone
- (313) 593-7000
- NPI assigned
- Jun 10, 2016
- Last updated
- Mar 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301109701 | MI | |
| Emergency Medicine Physician | 207P00000X | 65751 | AZ | |
| Emergency Medicine Physician | 207P00000X | 4301116940 | MI | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Mailing address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-2001
Other practice location 2
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.68 of 100
- Quality
- 92.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Obs Arizona PLLC | Emergency Medicine | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Arizona - Nogales | Current | Accepting new patients | |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ies Arizona PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100
10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- kmroue140766@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1821752213
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1356006670
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1528417573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-593-7000"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-2001",
"fax_number": "248-898-2017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MROUE",
"first_name": "KHALIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301109701",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "65751",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301116940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.