Active NPI
Mohammed Daoud Al-Nahar
- Pediatrics Physician
- Flint, MI
National Provider Identifier
1558035501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4351047808
- Practice address
- 1 Hurley PLZ
Flint, MI 48503-5902 - Phone
- (810) 262-7045
- NPI assigned
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4351047808 | MI | Primary |
Addresses
Primary practice location
1 Hurley PLZ
Flint, MI 48503-5902
Mailing address
7427 Heatherwood Dr Apt 3B
Grand Blanc, MI 48439-7526
Phone (586) 659-9908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008004173 | OH | Order and Referring Only - Pediatric Medicine | 9234660739 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351047808 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1558035501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7427 HEATHERWOOD DR APT 3B",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397526",
"telephone_number": "586-659-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-262-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-NAHAR",
"first_name": "MOHAMMED",
"middle_name": "DAOUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4351047808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.