NPIMap

Individual provider Active NPI

M. Anas Moughrabieh, MD

  • Pulmonary Disease Physician
  • Detroit, MI
National Provider Identifier
1598907701
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301107297 Issued in MI
Practice address
3990 John R 6 Brush Ctr
Harper University Hospital
Detroit, MI 48201-2018
Phone
(313) 745-9151
Fax
(313) 745-7414
NPI assigned
Apr 2, 2009
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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 4301107297 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301107297 MI
Pulmonary Disease Physician 207RP1001X 4301107297 MI Primary

Addresses

Primary practice location

3990 John R 6 Brush Ctr
Harper University Hospital
Detroit, MI 48201-2018

Mailing address

1560 E Maple Rd
Suite 400-Credentialing Department
Troy, MI 48083-1138
Phone (313) 745-9151

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
I20150522000469 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8325273923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chest and Sleep Medicine Consultants,PLCGroup PAC ID 5698775781, 6 clinicians

Practice addresses (Care Compare)

2284 S Ballenger Hwy
Suite H 2
Flint, MI 48503-3446
Phone (810) 720-1144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301107297MIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Crna Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Chest and Sleep Medicine Consultants,PLC Pulmonary Disease CurrentSince Aug 1, 2018 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Oct 15, 2015 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Oct 15, 2015 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Sep 26, 2016 Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Breathe LLC Pulmonary Disease PastSince Aug 1, 2018 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

2284 S Ballenger Hwy
Ste H2
Flint, MI 48503
Phone (810) 342-2000

3500 Calkins Rd
Ste B
Flint, MI 48532
Phone (810) 396-4170

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Interoperability endpoints

  • Direct secure messaging: mmoughrabieh1029119@direct.unitypoint.org

Organizations & group practices 11

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 3

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1598907701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING DEPARTMENT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-745-9151",
            "fax_number": "313-745-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R 6 BRUSH CTR",
            "address_2": "HARPER UNIVERSITY HOSPITAL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-9151",
            "fax_number": "313-745-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUGHRABIEH",
        "first_name": "M. ANAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301107297",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301107297",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301107297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.