NPIMap

Individual provider Active NPI

Muthanna L. Louis, M.D

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1538359872
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301090045 Issued in MI
Practice address
22250 Providence Dr Ste 301a&B
Southfield, MI 48075-4825
Phone
(248) 849-3281
Fax
(248) 849-5449
NPI assigned
Aug 1, 2007
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301090045 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 301a&B
Southfield, MI 48075-4825

Mailing address

4967 Crooks Rd
Ste 130
Troy, MI 48098-5801
Phone (248) 952-1601

Other names 1

  • Muthanna Louis Naeem Former name

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
I20110318000458 MI Practitioner - Internal Medicine 8123201704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Internal Medicine Specialists PLLCGroup PAC ID 8123121969, 19 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3151

22250 Providence Dr
Suite 301a
Southfield, MI 48075-6211
Phone (248) 849-3281

26677 W 12 Mile Rd
Southfield, MI 48034-1514
Phone (248) 354-4709

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.87 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan Internal Medicine CurrentSince Jun 30, 2011 Accepting new patients
Muthanna Louis MD PLLC CurrentSince Jul 26, 2011 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Aug 19, 2024 Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine CurrentSince Nov 13, 2023 Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 301A
Southfield, MI 48075
Phone (248) 849-3254

26677 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 234-4816

26677 W 12 Mile Rd
Ste B6
Southfield, MI 48034

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: mlouis@direct.dmc.org
  • Direct secure messaging: mlouis1139528@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1538359872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "STE 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 301A&B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-849-3281",
            "fax_number": "248-849-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "MUTHANNA",
        "middle_name": "L.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUTHANNA",
            "last_name": "NAEEM",
            "middle_name": "LOUIS",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.