Individual provider Active NPI

Ihab Hammoud, M.D.

  • Gastroenterology Physician
  • Dearborn, MI
National Provider Identifier
1538378617
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301081366 Issued in MI
Practice address
2040 Monroe St Ste 205
Dearborn, MI 48124-2950
Phone
(313) 551-3347
Fax
(313) 254-2921
NPI assigned
May 22, 2007
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081366 MI
Gastroenterology Physician 207RG0100X 036124949 IL
Gastroenterology Physician 207RG0100X 4301081366 MI Primary

Addresses

Primary practice location

2040 Monroe St Ste 205
Dearborn, MI 48124-2950

Mailing address

25022 Canterbury Rd Ste 205
Franklin, MI 48025-1204
Phone (313) 244-6182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151104000824 SD Practitioner - GastroenterologyPractitioner - Internal Medicine 0749475549 Reassigns benefits to 2 organizations
I20161031001778 MI Practitioner - Gastroenterology 0749475549 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Gastroenterology of Michigan PCGroup PAC ID 6305255951, 4 clinicians

Practice addresses (Care Compare)

1637 Monroe St
Dearborn, MI 48124-2912
Phone (313) 551-3347

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy124
Upper gastrointestinal (GI) endoscopy for acid reflux201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124949ILMDGastroenterology Physician
4301081366MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Internal Medicine CurrentSince Sep 16, 2015 Accepting new patients
Troy Gastroenterology PC Gastroenterology CurrentSince May 1, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince May 30, 2017 Accepting new patients
Premier Gastroenterology of Michigan PC Gastroenterology CurrentSince Mar 12, 2021 Accepting new patients
Sanford Clinic CurrentSince Sep 16, 2015 Accepting new patients
Sanford Clinic Current Accepting new patients
Mohammed a. Arman M.D. PC Gastroenterology CurrentSince Aug 8, 2018 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince May 30, 2017 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Dec 1, 2016 Accepting new patients
Mohammed a Arman MD, PC CurrentSince Aug 8, 2018 Accepting new patients
Troy Gastroenterology, PC Gastroenterology CurrentSince May 1, 2019 Accepting new patients
Troy Gastroenterology, PC Current Accepting new patients
W. a. Foote Memorial Hospital Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Sanford Medical Center CurrentSince Sep 16, 2015 Accepting new patients

Locations

1637 Monroe St
Dearborn, MI 48124
Phone (313) 278-1700

17000 Executive Plaza Dr
Dearborn, MI 48126
Phone (248) 429-9145

17000 Executive Plaza Dr
Ste 202
Dearborn, MI 48126
Phone (313) 583-3871

2040 Monroe St
Ste 205
Dearborn, MI 48124
Phone (313) 551-3347

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

744 W Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7618

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1538378617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25022 CANTERBURY RD STE 205",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251204",
            "telephone_number": "313-244-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST STE 205",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-551-3347",
            "fax_number": "313-254-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "IHAB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081366",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036124949",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301081366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.